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1144953894
SHANNON HENDRICKS
DECATUR, GA
NPI
1144953894
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-07-08
Last Update Date
2022-07-08
Business Address
SHANNON HENDRICKS
2711 IRVIN WAY STE 201
DECATUR, GA 30030-1724
Phone number: 866-523-4268
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Mailing Address
SHANNON HENDRICKS
DEPT LA 22763
PASADENA, CA 91185-2763
Phone number: 866-523-4268
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