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1306501358
SHATAVIA INGRAM
NORTH AUGUSTA, SC
NPI
1306501358
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: SC RBT-21-191566)
Enumeration Date
2021-11-04
Last Update Date
2021-11-04
Business Address
SHATAVIA INGRAM
714 CAROLINA AVE
NORTH AUGUSTA, SC 29841-3434
Phone number: 706-842-5330
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Mailing Address
SHATAVIA INGRAM
3736 EXECUTIVE CENTER DR
AUGUSTA, GA 30907-2360
Phone number: 706-842-5330
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