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1427648559
SHATAVA FENNELL
MARIETTA, GA
NPI
1427648559
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-01-22
Last Update Date
2021-01-22
Business Address
SHATAVA FENNELL
137 JOHNSON FERRY RD STE 2170
MARIETTA, GA 30068-4948
Phone number: 470-648-0510
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Mailing Address
SHATAVA FENNELL
300 INTERNATIONAL PKWY STE 200
LAKE MARY, FL 32746-5028
Phone number:
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