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1396335972
TIFFANY A CLARK
LAKELAND, FL
NPI
1396335972
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL 20138997)
Enumeration Date
2021-01-19
Last Update Date
2021-01-19
Business Address
TIFFANY A CLARK RBT
621 S WESTGATE AVE
LAKELAND, FL 33815-4075
Phone number: 407-535-9755
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Mailing Address
TIFFANY A CLARK RBT
621 S WESTGATE AVE
LAKELAND, FL 33815-4075
Phone number: 407-535-9755
Copy
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