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1407217110
LARISSA IRKA MCCORMICK
ELLICOTT CITY, MD
NPI
1407217110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: MD LBA193)
Enumeration Date
2016-03-09
Last Update Date
2016-03-09
Business Address
Miss LARISSA IRKA MCCORMICK MS, BCBA, LBA
2910 EVERGREEN WAY
ELLICOTT CITY, MD 21042-1020
Phone number: 410-530-0069
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Mailing Address
Miss LARISSA IRKA MCCORMICK MS, BCBA, LBA
2910 EVERGREEN WAY
ELLICOTT CITY, MD 21042-1020
Phone number: 410-530-0069
Copy
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