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1851949135
DANESSA TYKIETA CLAY
COLUMBIA, MO
NPI
1851949135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: MO rbt-19-97397)
Enumeration Date
2019-08-29
Last Update Date
2019-08-29
Business Address
DANESSA TYKIETA CLAY
205 PORTLAND ST
COLUMBIA, MO 65201-6521
Phone number: 573-884-6502
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Mailing Address
DANESSA TYKIETA CLAY
205 PORTLAND ST
COLUMBIA, MO 65201-6521
Phone number: 573-884-4660
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