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1295497089
MELISSA PRUITT STEPHENS
KENNESAW, GA
NPI
1295497089
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA RBT-21-185509)
Enumeration Date
2021-10-08
Last Update Date
2021-10-08
Business Address
MELISSA PRUITT STEPHENS
1619 COLLINS RD NW STE 500
KENNESAW, GA 30152-8237
Phone number: 470-531-0430
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Mailing Address
MELISSA PRUITT STEPHENS
300 INTERNATIONAL PKWY STE 200
LAKE MARY, FL 32746-5028
Phone number: 866-610-0580
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