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1215771878
MASON SAMUEL CLARK
TALLAHASSEE, FL
NPI
1215771878
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106E00000X Assistant Behavior Analyst
(Licence: FL BACB1128648)
Enumeration Date
2024-06-19
Last Update Date
2024-06-19
Business Address
MASON SAMUEL CLARK
751 RHODEN COVE RD
TALLAHASSEE, FL 32312-1013
Phone number: 850-815-8800
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Mailing Address
MASON SAMUEL CLARK
8581 PINE AVE
MACCLENNY, FL 32063-5011
Phone number: 904-646-8518
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