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1609550870
LAWRENCE STALLWORTH
SACRAMENTO, CA
NPI
1609550870
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-06-09
Last Update Date
2023-06-09
Business Address
LAWRENCE STALLWORTH
1300 ETHAN WAY
SACRAMENTO, CA 95825-2211
Phone number: 833-599-2560
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Mailing Address
LAWRENCE STALLWORTH
850 TOWBIN AVE
LAKEWOOD, NJ 08701-5928
Phone number:
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