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1477239556
EBONI FAITH HARRELL
SOUTHFIELD, MI
NPI
1477239556
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: MI RBT-21-186401)
Enumeration Date
2023-06-23
Last Update Date
2023-06-23
Business Address
EBONI FAITH HARRELL
17478 VIOLET DR UNIT 32
SOUTHFIELD, MI 48076-2097
Phone number: 850-586-3717
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Mailing Address
EBONI FAITH HARRELL
17478 VIOLET DR UNIT 32
SOUTHFIELD, MI 48076-2097
Phone number: 850-586-3717
Copy
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