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1831780667
ANISA BLACKWELL
CHARLOTTE, NC
NPI
1831780667
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-02-03
Last Update Date
2021-02-03
Business Address
ANISA BLACKWELL
3000 LATROBE DR STE B
CHARLOTTE, NC 28211-5227
Phone number: 704-612-6537
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Mailing Address
ANISA BLACKWELL
7503 MISTY VIEW CT
CHARLOTTE, NC 28215-2872
Phone number: 704-501-7527
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