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1265180178
AMANDA WYATT
CLARKSVILLE, TN
NPI
1265180178
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TN BACB727739)
Enumeration Date
2022-03-10
Last Update Date
2022-03-10
Business Address
AMANDA WYATT
514 WINGATE DR
CLARKSVILLE, TN 37043-6011
Phone number: 615-481-4899
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Mailing Address
AMANDA WYATT
514 WINGATE DR
CLARKSVILLE, TN 37043-6011
Phone number: 615-481-4899
Copy
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