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1528718921
KANLISHA DAMON
COLUMBIA, SC
NPI
1528718921
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: SC RBT-22-209360)
Enumeration Date
2022-03-28
Last Update Date
2022-03-28
Business Address
KANLISHA DAMON
1048 WILDWOOD CENTRE DR
COLUMBIA, SC 29229-8420
Phone number: 706-842-5330
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Mailing Address
KANLISHA DAMON
3736 EXECUTIVE CENTER DR
AUGUSTA, GA 30907-2360
Phone number: 706-842-5330
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