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1154494243
GEORGE A KOUSSOGLOU
MIDLOTHIAN, VA
NPI
1154494243
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904006093)
Enumeration Date
2006-11-16
Last Update Date
2009-12-14
Business Address
Mr. GEORGE A KOUSSOGLOU LCSW
10128 HULL STREET RD
MIDLOTHIAN, VA 23112-3300
Phone number: 804-276-5761
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Mailing Address
Mr. GEORGE A KOUSSOGLOU LCSW
10128 HULL STREET RD
MIDLOTHIAN, VA 23112-3300
Phone number: 804-276-5761
Copy
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