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1790293348
DANIEL STANFORD
COLUMBIA, SC
NPI
1790293348
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: SC 15-03548)
Enumeration Date
2018-01-17
Last Update Date
2018-01-17
Business Address
DANIEL STANFORD
1048 WILDWOOD CENTRE DR
COLUMBIA, SC 29229-8420
Phone number: 803-999-3752
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Mailing Address
DANIEL STANFORD
181 W PROFESSIONAL PARK CT STE 1
BOWLING GREEN, KY 42104-3250
Phone number: 270-777-9283
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