TARA LYNN MICKLE

CONCORD, MA
NPI1669010427
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: MA  S25785508)
Enumeration Date2019-12-11
Last Update Date2019-12-11
Business Address
TARA LYNN MICKLE
575 VIRGINIA RD # 310B
CONCORD, MA 01742-2761
Phone number: 978-759-7002
Mailing Address
TARA LYNN MICKLE
21600 OXNARD ST
WOODLAND HILLS, CA 91367-4976
Phone number: 819-345-2345
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