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1447755194
LISA ELISOFON BOOTH
COLUMBIA, MD
NPI
1447755194
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-03-26
Last Update Date
2018-03-26
Business Address
Mrs. LISA ELISOFON BOOTH
8815 COLUMBIA 100 PKWY STE 4
COLUMBIA, MD 21045-2361
Phone number: 877-776-8502
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Mailing Address
Mrs. LISA ELISOFON BOOTH
6026 RIVER BIRCH CT
HANOVER, MD 21076-1058
Phone number: 443-956-0196
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