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1134112402
LOREN BERDEQUEZ
MANASSAS, VA
NPI
1134112402
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904005251)
Enumeration Date
2005-08-23
Last Update Date
2007-07-08
Business Address
Mrs. LOREN BERDEQUEZ LCSW
8680 HOSPITAL WAY
MANASSAS, VA 20110-4287
Phone number: 703-369-8055
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Mailing Address
Mrs. LOREN BERDEQUEZ LCSW
8680 HOSPITAL WAY
MANASSAS, VA 20110-4287
Phone number: 703-369-8055
Copy
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