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1427300409
AMANDA LACKEY
JACKSONVILLE, NC
NPI
1427300409
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2012-10-15
Last Update Date
2012-10-22
Business Address
-- AMANDA LACKEY BS,SHS
307 TIMOTHY RD
JACKSONVILLE, NC 28546-9246
Phone number: 251-752-7098
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Mailing Address
-- AMANDA LACKEY BS,SHS
2708 NE 14TH ST STE 5
POMPANO BEACH, FL 33062-3565
Phone number: 888-880-9270
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