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1174026538
ELLEN DESCISCIOLO
FAIRFAX, VA
NPI
1174026538
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist, School
Enumeration Date
2018-03-13
Last Update Date
2018-03-13
Business Address
ELLEN DESCISCIOLO
8270 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031-4511
Phone number: 703-456-2226
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Mailing Address
ELLEN DESCISCIOLO
8270 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031-4511
Phone number:
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