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1164143129
MADELLYNE THOMAS
COLUMBIA, SC
NPI
1164143129
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: SC RBT-22-233769)
Enumeration Date
2022-09-08
Last Update Date
2022-09-08
Business Address
MADELLYNE THOMAS
830 GRACERN RD
COLUMBIA, SC 29210-7629
Phone number: 706-842-5330
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Mailing Address
MADELLYNE THOMAS
525 8TH ST P.O. BOX 2567
AUGUSTA, GA 30901-9998
Phone number: 706-842-5330
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