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1710246343
CARLA MICHELLE SMITH
FORT WORTH, TX
NPI
1710246343
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: TX 10-10-7912)
Enumeration Date
2012-05-16
Last Update Date
2012-05-16
Business Address
-- CARLA MICHELLE SMITH
1300 W LANCASTER AVE
FORT WORTH, TX 76102-3410
Phone number: 817-336-8611
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Mailing Address
-- CARLA MICHELLE SMITH
10105 MAX LN
FRISCO, TX 75035-5248
Phone number:
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