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1164721080
TATIANA MENICK
ALEXANDRIA, VA
NPI
1164721080
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: VA 0101248809)
Enumeration Date
2011-03-17
Last Update Date
2011-03-17
Business Address
-- TATIANA MENICK MD
3802 EXECUTIVE AVE D-1
ALEXANDRIA, VA 22305-2112
Phone number: 703-535-7930
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Mailing Address
-- TATIANA MENICK MD
3802 EXECUTIVE AVE D-1
ALEXANDRIA, VA 22305-2112
Phone number: 703-535-7930
Copy
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