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1598410540
AMANDA C GLASCOCK
PEORIA, IL
NPI
1598410540
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IL RBT-17-44108)
Enumeration Date
2022-02-18
Last Update Date
2022-02-18
Business Address
AMANDA C GLASCOCK
507 E ARMSTRONG AVE
PEORIA, IL 61603-3201
Phone number: 309-686-1177
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Mailing Address
AMANDA C GLASCOCK
507 E ARMSTRONG AVE
PEORIA, IL 61603-3201
Phone number:
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