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1548876865
JULIA KEANNA WIGFALL
LAWRENCEVILLE, GA
NPI
1548876865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: RBT-20-132944)
Enumeration Date
2020-09-22
Last Update Date
2023-06-29
Business Address
JULIA KEANNA WIGFALL BS
2387 HUNTCREST WAY
LAWRENCEVILLE, GA 30043-8126
Phone number: 678-648-7644
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Mailing Address
JULIA KEANNA WIGFALL BS
6505 SHILOH RD STE 100
ALPHARETTA, GA 30005-1645
Phone number: 678-648-7644
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