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1780348516
TIA MARIE FONSECA
EDGEWOOD, KY
NPI
1780348516
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-10-27
Last Update Date
2021-10-27
Business Address
Mrs. TIA MARIE FONSECA
925 DUDLEY PIKE
EDGEWOOD, KY 41017-8120
Phone number: 859-360-3006
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Mailing Address
Mrs. TIA MARIE FONSECA
562 MICHELLE CT APT 22
ERLANGER, KY 41018-3204
Phone number: 859-322-5553
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