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1952737595
MARY C VANDEWEGE
POOLER, GA
NPI
1952737595
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: 11313529)
Enumeration Date
2013-09-15
Last Update Date
2016-11-04
Business Address
-- MARY C VANDEWEGE BCBA
270 DURHAM PARK WAY
POOLER, GA 31322-2196
Phone number: 806-790-8680
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Mailing Address
-- MARY C VANDEWEGE BCBA
270 DURHAM PARK WAY
POOLER, GA 31322-2196
Phone number: 806-790-8680
Copy
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