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1104142496
ILANA ILKOVITCH BURGH
MC LEAN, VA
NPI
1104142496
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810004048)
Enumeration Date
2010-04-13
Last Update Date
2013-02-04
Business Address
Dr. ILANA ILKOVITCH BURGH PsyD
1645 INTERNATIONAL DR 327
MC LEAN, VA 22102-4816
Phone number: 240-354-7651
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Mailing Address
Dr. ILANA ILKOVITCH BURGH PsyD
1645 INTERNATIONAL DR 327
MC LEAN, VA 22102-4816
Phone number:
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