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1003138744
AVY STOCK
LEESBURG, VA
NPI
1003138744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: VA 0810003939)
Enumeration Date
2010-02-23
Last Update Date
2010-02-23
Business Address
-- AVY STOCK
42009 VICTORY LN
LEESBURG, VA 20176-6269
Phone number: 330-758-4515
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Mailing Address
-- AVY STOCK
42009 VICTORY LN
LEESBURG, VA 20176-6269
Phone number: 330-758-4515
Copy
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