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1619790631
MIRANDA CARROLL
IRMO, SC
NPI
1619790631
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: SC RBT-24-390285)
Enumeration Date
2024-11-07
Last Update Date
2024-11-07
Business Address
MIRANDA CARROLL
1084 LAKE MURRAY BLVD
IRMO, SC 29063-2821
Phone number: 706-842-5330
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Mailing Address
MIRANDA CARROLL
209 7TH ST FL 3
AUGUSTA, GA 30901-1486
Phone number: 706-842-5330
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