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1962145664
SHANICE BLAIR
KENNESAW, GA
NPI
1962145664
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA RBT-22-217138)
Enumeration Date
2022-04-19
Last Update Date
2024-03-11
Business Address
SHANICE BLAIR
3330 CHASTAIN MEADOWS PKWY NW
KENNESAW, GA 30144-5881
Phone number: 678-648-7644
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Mailing Address
SHANICE BLAIR
6505 SHILOH RD STE 100
ALPHARETTA, GA 30005-1645
Phone number: 678-648-7644
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