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1891330437
SABRINA MARIE SLACK
FAIRFAX, VA
NPI
1891330437
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-11-07
Last Update Date
2019-11-07
Business Address
SABRINA MARIE SLACK
10430 DEMOCRACY LANE #102B
FAIRFAX, VA 22030-2203
Phone number: 571-386-0871
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Mailing Address
SABRINA MARIE SLACK
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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