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1851899926
SAMANTHA ERICKSON
TAMPA, FL
NPI
1851899926
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL 17-45025)
Enumeration Date
2018-01-24
Last Update Date
2018-01-24
Business Address
SAMANTHA ERICKSON
3217 S MACDILL AVE
TAMPA, FL 33629-1719
Phone number: 813-284-7941
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Mailing Address
SAMANTHA ERICKSON
181 W PROFESSIONAL PARK CT STE 1
BOWLING GREEN, KY 42104-3250
Phone number: 270-777-9283
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