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1649533167
CARLY PIACENTINI
PORTAGE, MI
NPI
1649533167
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Former Name
CARLY CORNELIUS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: MI 1-12-10212)
Enumeration Date
2012-06-19
Last Update Date
2012-09-17
Business Address
Mrs. CARLY PIACENTINI MS, BCBA
9616 PORTAGE RD
PORTAGE, MI 49002-7257
Phone number: 269-929-3850
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Mailing Address
Mrs. CARLY PIACENTINI MS, BCBA
9616 PORTAGE RD
PORTAGE, MI 49002-7257
Phone number: 269-929-3850
Copy
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