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1215569934
LAUREN ELIZABETH LIDE
CHARLOTTE, NC
NPI
1215569934
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: SC RBT-17-32326)
Enumeration Date
2020-02-11
Last Update Date
2020-06-29
Business Address
LAUREN ELIZABETH LIDE RBT
10926 S TRYON ST STE E
CHARLOTTE, NC 28273-4154
Phone number: 855-201-5498
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Mailing Address
LAUREN ELIZABETH LIDE RBT
10926 S TRYON ST STE E
CHARLOTTE, NC 28273-4154
Phone number: 855-201-5498
Copy
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