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1750916508
KASADIE RUSSELL
BENBROOK, TX
NPI
1750916508
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TX RBT-20-115087)
Enumeration Date
2020-03-11
Last Update Date
2020-03-11
Business Address
KASADIE RUSSELL
6211 SOUTHWEST BLVD
BENBROOK, TX 76132-1080
Phone number: 817-249-8100
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Mailing Address
KASADIE RUSSELL
6211 SOUTHWEST BLVD
BENBROOK, TX 76132-1080
Phone number: 817-249-8100
Copy
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