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1255927679
LAKISHA MONAE CHARLES
DECATUR, GA
NPI
1255927679
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Former Name
LAKISHA MONAE SOMERVILLE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-12-19
Last Update Date
2020-12-19
Business Address
LAKISHA MONAE CHARLES MS
465 WINN WAY STE 130&140
DECATUR, GA 30030-1753
Phone number: 866-610-0580
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Mailing Address
LAKISHA MONAE CHARLES MS
300 INTERNATIONAL PKWY STE 200
LAKE MARY, FL 32746-5028
Phone number: 866-610-0580
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