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1144704651
CARISSA SMITH
ELK GROVE, CA
NPI
1144704651
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-09-20
Last Update Date
2019-02-08
Business Address
CARISSA SMITH
9355 E STOCKTON BLVD STE 100
ELK GROVE, CA 95624
Phone number: 916-683-1109
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Mailing Address
CARISSA SMITH
PO BOX 5157
MODESTO, CA 95352-5157
Phone number: 209-572-2589
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