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1205069929
KATIE MICHELLE MATTOX
CORDOVA, TN
NPI
1205069929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2009-08-27
Last Update Date
2014-08-15
Business Address
-- KATIE MICHELLE MATTOX
1155 CULLY RD
CORDOVA, TN 38018-8502
Phone number: 901-624-2454
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Mailing Address
-- KATIE MICHELLE MATTOX
1155 CULLY RD
CORDOVA, TN 38018-8502
Phone number: 901-624-2454
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