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1326605593
ELLEN CLACK
SANTA CRUZ, CA
NPI
1326605593
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-05-23
Last Update Date
2019-05-23
Business Address
ELLEN CLACK
749 37TH AVE
SANTA CRUZ, CA 95062-5124
Phone number: 844-322-7483
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Mailing Address
ELLEN CLACK
749 37TH AVE
SANTA CRUZ, CA 95062-5124
Phone number: 844-322-7483
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