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1013418607
LISA SUZANNE MATHIAS
MANASSAS, VA
NPI
1013418607
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: VA 2202004970)
Enumeration Date
2018-02-28
Last Update Date
2018-02-28
Business Address
LISA SUZANNE MATHIAS MS, CCC
14715 BRISTOW RD
MANASSAS, VA 20112-3945
Phone number: 703-791-2099
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Mailing Address
LISA SUZANNE MATHIAS MS, CCC
9277 ELK RUN RD
CATLETT, VA 20119-2024
Phone number: 703-586-7040
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