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1740964881
MALLORY ALEXIS GREENBERG
LAKE WORTH, FL
NPI
1740964881
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-22-201376)
Enumeration Date
2023-06-09
Last Update Date
2023-06-09
Business Address
MALLORY ALEXIS GREENBERG
8704 CORVUS DR
LAKE WORTH, FL 33467-2419
Phone number: 908-692-1415
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Mailing Address
MALLORY ALEXIS GREENBERG
8704 CORVUS DR
LAKE WORTH, FL 33467-2419
Phone number: 908-692-1415
Copy
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