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1568198497
CASSIDY LUCAS
MASCOUTAH, IL
NPI
1568198497
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IL RBT-22-226241)
Enumeration Date
2022-07-25
Last Update Date
2022-07-25
Business Address
CASSIDY LUCAS RBT
522 E MAIN ST
MASCOUTAH, IL 62258-2240
Phone number: 618-566-0313
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Mailing Address
CASSIDY LUCAS RBT
225 ALAMOSA DR
FREEBURG, IL 62243-2666
Phone number: 330-604-1262
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