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1093109431
PRATHIMA KISHORE
ALEXANDRIA, VA
NPI
1093109431
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA 0710000580)
Enumeration Date
2015-03-24
Last Update Date
2015-03-24
Business Address
-- PRATHIMA KISHORE
6677 RICHMOND HWY
ALEXANDRIA, VA 22306-6647
Phone number: 703-535-5568
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Mailing Address
-- PRATHIMA KISHORE
6677 RICHMOND HWY
ALEXANDRIA, VA 22306-6647
Phone number: 703-535-5568
Copy
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