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1376327890
JEANINE SLACK
WESTLAKE VILLAGE, CA
NPI
1376327890
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-08-24
Last Update Date
2024-05-24
Business Address
JEANINE SLACK
2625 TOWNSGATE RD STE 102
WESTLAKE VILLAGE, CA 91361-5726
Phone number: 805-413-3009
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Mailing Address
JEANINE SLACK
4221 WILSHIRE BLVD STE 300A
LOS ANGELES, CA 90010-3537
Phone number: 888-428-3223
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