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1144724907
MARISA NICOLE MELLETT
SOUTHLAKE, TX
NPI
1144724907
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TX RBT-17-38563)
Enumeration Date
2018-03-19
Last Update Date
2018-03-19
Business Address
MARISA NICOLE MELLETT
2104 GREENBRIAR DR
SOUTHLAKE, TX 76092-8355
Phone number: 817-442-9022
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Mailing Address
MARISA NICOLE MELLETT
2104 GREENBRIAR DR
SOUTHLAKE, TX 76092-8355
Phone number: 817-442-9022
Copy
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