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1477217172
ELIZABETH CANNON
IRMO, SC
NPI
1477217172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: SC RBT-21-190666)
Enumeration Date
2021-10-28
Last Update Date
2021-10-28
Business Address
ELIZABETH CANNON
1084 LAKE MURRAY BLVD
IRMO, SC 29063-2821
Phone number: 706-842-5330
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Mailing Address
ELIZABETH CANNON
3736 EXECUTIVE CENTER DR
AUGUSTA, GA 30907-2360
Phone number: 706-842-5330
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