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1376163188
JENNIFER LYNN TATANISH
FREDERICK, MD
NPI
1376163188
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: MD Lba778)
Enumeration Date
2020-04-22
Last Update Date
2020-04-22
Business Address
JENNIFER LYNN TATANISH LBA
3645 SPRINGHOLLOW LN
FREDERICK, MD 21704-7370
Phone number: 301-606-8664
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Mailing Address
JENNIFER LYNN TATANISH LBA
3645 SPRINGHOLLOW LN
FREDERICK, MD 21704-7370
Phone number:
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