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1508694878
ELISE CHRISTINE LICKTEIG
WOODSTOCK, GA
NPI
1508694878
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-07-26
Last Update Date
2024-07-26
Business Address
ELISE CHRISTINE LICKTEIG
3229 S CHEROKEE LN STE 1400
WOODSTOCK, GA 30188-4461
Phone number: 470-499-2480
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Mailing Address
ELISE CHRISTINE LICKTEIG
7500 SAN FELIPE ST STE 990
HOUSTON, TX 77063-1708
Phone number: 866-610-0580
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