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1710719091
SAMANTHA CLARK
COOKEVILLE, TN
NPI
1710719091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-08-15
Last Update Date
2024-08-15
Business Address
SAMANTHA CLARK
390 S LOWE AVE STE K
COOKEVILLE, TN 38501-4703
Phone number: 888-423-2559
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Mailing Address
SAMANTHA CLARK
390 S LOWE AVE STE K
COOKEVILLE, TN 38501-4703
Phone number: 888-423-2559
Copy
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