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1225608367
KHADIESHA STATUM
FAYETTEVILLE, GA
NPI
1225608367
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA RBT-21-165427)
Enumeration Date
2021-06-30
Last Update Date
2021-06-30
Business Address
KHADIESHA STATUM RBT
126 PAVILION PKWY
FAYETTEVILLE, GA 30214-4056
Phone number: 770-954-8988
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Mailing Address
KHADIESHA STATUM RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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