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1104328582
ANOUSHKA BASU MALLIK
MC LEAN, VA
NPI
1104328582
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: MD RBT-18-49588)
Enumeration Date
2018-03-01
Last Update Date
2018-03-01
Business Address
ANOUSHKA BASU MALLIK RBT
1651 OLD MEADOW RD
MC LEAN, VA 22102-4311
Phone number: 703-506-0123
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Mailing Address
ANOUSHKA BASU MALLIK RBT
21208 VIRGINIA PINE TER
GERMANTOWN, MD 20876-4382
Phone number: 240-780-1832
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