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1922705516
DESTINY HARRIS
IRMO, SC
NPI
1922705516
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: SC RBT-23-258800)
Enumeration Date
2023-02-14
Last Update Date
2023-02-14
Business Address
DESTINY HARRIS
1084 LAKE MURRAY BLVD
IRMO, SC 29063-2821
Phone number: 706-842-5330
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Mailing Address
DESTINY HARRIS
PO BOX 2567
AUGUSTA, GA 30903-2567
Phone number: 706-842-5330
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