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1821715129
SHANTELLE L HENDERSON
BOWIE, MD
NPI
1821715129
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: RBT-22-239514)
Enumeration Date
2022-10-26
Last Update Date
2022-10-26
Business Address
SHANTELLE L HENDERSON
6911 LAUREL BOWIE RD STE 309
BOWIE, MD 20715-1712
Phone number: 301-755-4021
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Mailing Address
SHANTELLE L HENDERSON
6911 LAUREL BOWIE RD STE 309
BOWIE, MD 20715-1712
Phone number: 301-755-4021
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