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1225862998
LAUREN SHIVELY
WINSTON SALEM, NC
NPI
1225862998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-08-27
Last Update Date
2024-08-27
Business Address
LAUREN SHIVELY RBT
210 CHARLOIS BLVD
WINSTON SALEM, NC 27103-1508
Phone number: 704-440-3580
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Mailing Address
LAUREN SHIVELY RBT
3261 ZUIDER ZEE DR APT H
WINSTON SALEM, NC 27127-4777
Phone number: 828-347-2041
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