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1306455738
LATAVIA GREEN
MCDONOUGH, GA
NPI
1306455738
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA RBT-19-100750)
Enumeration Date
2020-07-31
Last Update Date
2023-11-27
Business Address
LATAVIA GREEN
382 RACETRACK RD
MCDONOUGH, GA 30252-1022
Phone number: 678-691-2206
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Mailing Address
LATAVIA GREEN
2472 JETT FERRY RD STE 400-197
ATLANTA, GA 30338-3059
Phone number:
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