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1023269628
TRINITY ELIZABETH COSTIC
ASHBURN, VA
NPI
1023269628
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Former Name
TRINITY CONRAD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: VA 2202005584)
Enumeration Date
2008-10-02
Last Update Date
2011-08-18
Business Address
-- TRINITY ELIZABETH COSTIC M.S., CCC-SLP
43861 LABURNUM SQ
ASHBURN, VA 20147-5448
Phone number: 703-731-6480
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Mailing Address
-- TRINITY ELIZABETH COSTIC M.S., CCC-SLP
43861 LABURNUM SQ
ASHBURN, VA 20147-5448
Phone number: 703-731-6480
Copy
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