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1700438124
SHANNAN JENE LEWIS
AUSTIN, TX
NPI
1700438124
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Former Name
SHANNAN JENE BAHAM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-07-15
Last Update Date
2019-07-15
Business Address
Mrs. SHANNAN JENE LEWIS
100 CONGRESS AVE STE 2000
AUSTIN, TX 78701-2745
Phone number: 877-418-2978
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Mailing Address
Mrs. SHANNAN JENE LEWIS
100 CONGRESS AVE STE 2000
AUSTIN, TX 78701-2745
Phone number: 877-418-2978
Copy
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