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1457083305
TAMMY DIANNE LAKE
HUNTSVILLE, AL
NPI
1457083305
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: AL RBT-22-214750)
Enumeration Date
2022-06-29
Last Update Date
2022-06-29
Business Address
TAMMY DIANNE LAKE
810 SHONEY DR SW
HUNTSVILLE, AL 35801-5436
Phone number: 850-866-0441
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Mailing Address
TAMMY DIANNE LAKE
810 SHONEY DR SW
HUNTSVILLE, AL 35801-5436
Phone number: 256-558-2010
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