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1245983725
MELISSA CLARK
CUMMING, GA
NPI
1245983725
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-02-03
Last Update Date
2022-02-03
Business Address
MELISSA CLARK
1664 MARKET PLACE BLVD
CUMMING, GA 30041-7927
Phone number: 470-253-4121
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Mailing Address
MELISSA CLARK
4640 NEWBERRY DR
CUMMING, GA 30040-9403
Phone number: 678-308-6729
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