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1265834345
MELISSA FORTSON
LAWRENCEVILLE, GA
NPI
1265834345
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2014-09-21
Last Update Date
2014-09-21
Business Address
MELISSA FORTSON
1739 LEGRAND CIR
LAWRENCEVILLE, GA 30043-8184
Phone number: 770-513-4331
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Mailing Address
MELISSA FORTSON
1032 OLD PEACHTREE RD NW STE 401 PMB 518
LAWRENCEVILLE, GA 30043-3324
Phone number: 404-654-3919
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