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1013418904
NITA PUTNAM
MANASSAS, VA
NPI
1013418904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: VA 2202007632)
Enumeration Date
2018-02-26
Last Update Date
2018-02-26
Business Address
Mrs. NITA PUTNAM CCC-SLP
14715 BRISTOW RD
MANASSAS, VA 20112-3945
Phone number: 703-586-9929
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Mailing Address
Mrs. NITA PUTNAM CCC-SLP
14708 PARSON WEEMS LOOP
WOODBRIDGE, VA 22193-3260
Phone number:
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