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1952847790
ALISHA CRISWELL
DULUTH, GA
NPI
1952847790
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
101YM0800X Counselor Mental Health
Enumeration Date
2017-01-18
Last Update Date
2020-12-09
Business Address
ALISHA CRISWELL RBT
2810 PREMIERE PKWY STE 500
DULUTH, GA 30097-8912
Phone number: 866-523-4268
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Mailing Address
ALISHA CRISWELL RBT
PO BOX 399318
SAN FRANCISCO, CA 94139-9318
Phone number: 866-523-4268
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