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1740826254
KELLY ANN SOUZA
PROVIDENCE, RI
NPI
1740826254
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: RI 3019502)
Enumeration Date
2019-11-19
Last Update Date
2019-11-19
Business Address
KELLY ANN SOUZA
290 W EXCHANGE STREET STE 101
PROVIDENCE, RI 02903
Phone number: 401-214-2330
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Mailing Address
KELLY ANN SOUZA
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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