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1982394540
ALYSSA NICOLE BIRDWELL
SOUTHLAKE, TX
NPI
1982394540
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-05-08
Last Update Date
2023-05-08
Business Address
ALYSSA NICOLE BIRDWELL
2104 GREENBRIAR DR
SOUTHLAKE, TX 76092-8355
Phone number: 817-442-9022
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Mailing Address
ALYSSA NICOLE BIRDWELL
2104 GREENBRIAR DR
SOUTHLAKE, TX 76092-8355
Phone number:
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