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1124151014
WANNA PROMMART
ALEXANDRIA, VA
NPI
1124151014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: VA 0810003512)
Enumeration Date
2007-03-13
Last Update Date
2007-07-08
Business Address
DR. WANNA PROMMART PSYD
205 S WHITING ST SUITE 601
ALEXANDRIA, VA 22304-2227
Phone number: 571-722-8872
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Mailing Address
DR. WANNA PROMMART PSYD
491 NAYLOR PL
ALEXANDRIA, VA 22304-2227
Phone number: 571-722-8872
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