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1821797887
ELLEN ELIZABETH LAGRANGE
SOUTHLAKE, TX
NPI
1821797887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TX RBT-16-15039)
Enumeration Date
2023-02-28
Last Update Date
2023-02-28
Business Address
ELLEN ELIZABETH LAGRANGE
2104 GREENBRIAR DR
SOUTHLAKE, TX 76092-8355
Phone number: 817-442-6808
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Mailing Address
ELLEN ELIZABETH LAGRANGE
2104 GREENBRIAR DR
SOUTHLAKE, TX 76092-8355
Phone number: 817-442-6808
Copy
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