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1942952643
SHANIQUE LEWIS
FULTON, MD
NPI
1942952643
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-01-24
Last Update Date
2022-01-24
Business Address
SHANIQUE LEWIS
8115 MAPLE LAWN BLVD STE 350
FULTON, MD 20759-2683
Phone number: 866-352-5010
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Mailing Address
SHANIQUE LEWIS
8115 MAPLE LAWN BLVD STE 350
FULTON, MD 20759-2683
Phone number: 866-352-5010
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