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1730890518
KIM SHEPHERD
LAWRENCEVILLE, GA
NPI
1730890518
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-12-12
Last Update Date
2022-12-12
Business Address
KIM SHEPHERD
360 WAYSIDE DR
LAWRENCEVILLE, GA 30046-5966
Phone number: 770-990-0041
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Mailing Address
KIM SHEPHERD
360 WAYSIDE DR
LAWRENCEVILLE, GA 30046-5966
Phone number: 770-990-0041
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