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1346001880
LACEY MARIE MALLETT
DORAL, FL
NPI
1346001880
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-23-314180)
Enumeration Date
2024-01-22
Last Update Date
2024-12-24
Business Address
LACEY MARIE MALLETT
8180 NW 36TH ST STE 317
DORAL, FL 33166-6674
Phone number: 786-652-1513
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Mailing Address
LACEY MARIE MALLETT
8180 NW 36TH ST STE 317
DORAL, FL 33166-6674
Phone number: 786-652-1513
Copy
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