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1497479729
ALISE M CLARK
COOKEVILLE, TN
NPI
1497479729
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-09-29
Last Update Date
2022-09-29
Business Address
ALISE M CLARK Behavior Technician
1680 S JEFFERSON AVE STE F&G
COOKEVILLE, TN 38506-2526
Phone number: 854-844-1116
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Mailing Address
ALISE M CLARK Behavior Technician
1500 S DOUGLAS RD STE 230
CORAL GABLES, FL 33134-4108
Phone number: 854-844-1116
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