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1740969542
ANGELINA CLARK
STAFFORD, VA
NPI
1740969542
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: VA RBT-23-276729)
Enumeration Date
2023-07-18
Last Update Date
2023-07-18
Business Address
ANGELINA CLARK
2765 RICHMOND HWY STE 105
STAFFORD, VA 22554-8331
Phone number: 540-699-2381
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Mailing Address
ANGELINA CLARK
2765 RICHMOND HWY STE 105
STAFFORD, VA 22554-8331
Phone number: 540-699-2381
Copy
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