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1801427000
LISA L PATCH
NEWNAN, GA
NPI
1801427000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: NH RBT-17-35894)
Enumeration Date
2020-01-28
Last Update Date
2020-01-28
Business Address
LISA L PATCH RBT
112 JEFFERSON STREET
NEWNAN, GA 30263
Phone number: 877-288-4760
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Mailing Address
LISA L PATCH RBT
35 SWEETWATER WAY
SENOIA, GA 30276-1300
Phone number:
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