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1528783768
ALYSSA LICET DARRACH
VACAVILLE, CA
NPI
1528783768
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA 00017709)
Enumeration Date
2022-10-10
Last Update Date
2022-10-10
Business Address
ALYSSA LICET DARRACH
161 BUTCHER RD
VACAVILLE, CA 95687-5685
Phone number: 707-305-1118
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Mailing Address
ALYSSA LICET DARRACH
5850 GRANITE PKWY STE 600
PLANO, TX 75024-6753
Phone number:
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