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1770307696
MICHAELA ANNE SOUTH
BRENTWOOD, CA
NPI
1770307696
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-11-08
Last Update Date
2024-11-08
Business Address
MICHAELA ANNE SOUTH
1210 CENTRAL BLVD STE A
BRENTWOOD, CA 94513-2379
Phone number: 925-809-6565
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Mailing Address
MICHAELA ANNE SOUTH
996 ROYAL MARCO WAY
MARCO ISLAND, FL 34145-1829
Phone number:
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