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1528569050
JOANNA STAFFORD
WEST COLUMBIA, SC
NPI
1528569050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: SC 17-45343)
Enumeration Date
2018-02-21
Last Update Date
2018-02-21
Business Address
JOANNA STAFFORD
3115 SUNSET BLVD
WEST COLUMBIA, SC 29169-3425
Phone number: 803-791-3722
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Mailing Address
JOANNA STAFFORD
181 W PROFESSIONAL PARK CT STE 1
BOWLING GREEN, KY 42104-3250
Phone number: 270-777-9283
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