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1578164133
THERESA VANDERVALL
BALTIMORE, MD
NPI
1578164133
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-11-02
Last Update Date
2020-11-02
Business Address
THERESA VANDERVALL
400 E PRATT ST FL 8
BALTIMORE, MD 21202-3180
Phone number: 866-586-4861
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Mailing Address
THERESA VANDERVALL
3802 ARBUTUS AVE
GWYNN OAK, MD 21207-6354
Phone number:
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