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1164911939
OLIVIA CLARK
CHARLOTTE, NC
NPI
1164911939
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: NC RBT-17-29481)
Enumeration Date
2018-05-07
Last Update Date
2018-05-07
Business Address
OLIVIA CLARK
2301 CROWNPOINT EXECUTIVE DR STE E
CHARLOTTE, NC 28227-6725
Phone number: 704-708-8314
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Mailing Address
OLIVIA CLARK
2301 CROWNPOINT EXECUTIVE DR STE E
CHARLOTTE, NC 28227-6725
Phone number: 704-708-8314
Copy
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