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1093217580
STACEY GOLDBERG
MANASSAS, VA
NPI
1093217580
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: VA 2202004389)
Enumeration Date
2018-03-01
Last Update Date
2018-03-01
Business Address
STACEY GOLDBERG M.S., CCC-SLP
14715 BRISTOW RD
MANASSAS, VA 20112-3945
Phone number: 571-248-4930
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Mailing Address
STACEY GOLDBERG M.S., CCC-SLP
14715 BRISTOW RD
MANASSAS, VA 20112-3945
Phone number: 571-248-4930
Copy
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