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1205565918
SAMUEL AARON TISSENBAUM
CHARLESTON, WV
NPI
1205565918
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: WV BACB790322)
Enumeration Date
2022-06-08
Last Update Date
2022-06-08
Business Address
SAMUEL AARON TISSENBAUM
888 OAKWOOD RD STE 300
CHARLESTON, WV 25314-2071
Phone number: 681-265-0999
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Mailing Address
SAMUEL AARON TISSENBAUM
888 OAKWOOD ROAD SUITE 300, BOX 2
CHARLESTON, WV 25314
Phone number:
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