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1346819521
IDASHA LEE
POOLER, GA
NPI
1346819521
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-06-22
Last Update Date
2021-06-22
Business Address
IDASHA LEE
105 GRAND CENTRAL BLVD
POOLER, GA 31322-4148
Phone number: 912-244-3305
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Mailing Address
IDASHA LEE
300 INTERNATIONAL PARKWAY, SUITE 200
LAKE MARY, FL 32746-3625
Phone number: 866-610-0580
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