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1922754910
ANIYA CLARK
NEWNAN, GA
NPI
1922754910
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-02-28
Last Update Date
2022-02-28
Business Address
ANIYA CLARK RBT
225 MILLARD FARMER IND BLVD BLDG 100
NEWNAN, GA 30263-3168
Phone number: 470-400-3177
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Mailing Address
ANIYA CLARK RBT
10175 FORTUNE PKWY UNIT 903
JACKSONVILLE, FL 32256-6755
Phone number: 904-538-0713
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