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1982243770
SHANTAE JOHNSON LATLEIF
ODENTON, MD
NPI
1982243770
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Other Name
SHANTAE JOHNSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-12-27
Last Update Date
2019-12-27
Business Address
SHANTAE JOHNSON LATLEIF
536 GREENCREST LN
ODENTON, MD 21113-1486
Phone number: 410-841-8011
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Mailing Address
SHANTAE JOHNSON LATLEIF
536 GREENCREST LN
ODENTON, MD 21113-1486
Phone number: 410-841-8011
Copy
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