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1184212888
HEIDI LYNN PHILLIPS
HINESVILLE, GA
NPI
1184212888
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Former Name
HEIDI LYNN SMITH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA RBT-20-147786)
Enumeration Date
2021-01-07
Last Update Date
2021-01-07
Business Address
HEIDI LYNN PHILLIPS
740 E GENERAL STEWART WAY STE 202
HINESVILLE, GA 31313-2630
Phone number: 912-294-4055
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Mailing Address
HEIDI LYNN PHILLIPS
740 E GENERAL STEWART WAY STE 202
HINESVILLE, GA 31313-2630
Phone number: 912-294-4055
Copy
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