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1881312973
MORIAH SOUTHALL
KENTWOOD, MI
NPI
1881312973
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-08-16
Last Update Date
2022-08-16
Business Address
MORIAH SOUTHALL Behavior Technician
1545 68TH ST SE STE 201
KENTWOOD, MI 49508-7896
Phone number: 844-854-1116
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Mailing Address
MORIAH SOUTHALL Behavior Technician
1500 S DOUGLAS RD STE 230
CORAL GABLES, FL 33134-4108
Phone number: 844-854-1116
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