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1194505768
SEANQUILE WALLACE
COLUMBIA, MD
NPI
1194505768
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-10-02
Last Update Date
2023-10-02
Business Address
SEANQUILE WALLACE
6700 ALEXANDER BELL DR STE 200
COLUMBIA, MD 21046-2105
Phone number: 410-705-0227
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Mailing Address
SEANQUILE WALLACE
6700 ALEXANDER BELL DR STE 200
COLUMBIA, MD 21046-2105
Phone number: 410-705-0227
Copy
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