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1447852108
SOPHIA GONZALEZ
PRAIRIEVILLE, LA
NPI
1447852108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: LA 011837892)
Enumeration Date
2020-11-09
Last Update Date
2020-11-09
Business Address
SOPHIA GONZALEZ
17505 OLD JEFFERSON HWY
PRAIRIEVILLE, LA 70769-3930
Phone number: 985-500-3130
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Mailing Address
SOPHIA GONZALEZ
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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