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1164116737
FATU FORNAH
ALEXANDRIA, VA
NPI
1164116737
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TM1800X Psychologist, Intellectual & Developmental Disabilities
(Licence: VA 437701001)
Enumeration Date
2023-06-06
Last Update Date
2023-06-06
Business Address
FATU FORNAH
2000 N BEAUREGARD ST APT 115
ALEXANDRIA, VA 22311-4633
Phone number: 703-991-9553
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Mailing Address
FATU FORNAH
303 MARSHALLS VENTURE CT
ACCOKEEK, MD 20607-3347
Phone number: 703-991-9553
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