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1306426366
MELISSA WHITTED
SOUTHLAKE, TX
NPI
1306426366
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TX RBT21154238)
Enumeration Date
2021-04-13
Last Update Date
2021-04-13
Business Address
MELISSA WHITTED RBT
2425 E SOUTHLAKE BLVD
SOUTHLAKE, TX 76092-6674
Phone number: 821-744-2022
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Mailing Address
MELISSA WHITTED RBT
2425 E SOUTHLAKE BLVD
SOUTHLAKE, TX 76092-6674
Phone number: 821-744-2022
Copy
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