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1194053256
STEPHANIE ELAINE GOODWIN
FREDERICKSBURG, VA
NPI
1194053256
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: VA 0710001130)
Enumeration Date
2009-12-01
Last Update Date
2009-12-01
Business Address
Ms. STEPHANIE ELAINE GOODWIN MA, CSAC, QMHP
915 LAFAYETTE BLVD # C
FREDERICKSBURG, VA 22401-5667
Phone number: 540-654-5113
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Mailing Address
Ms. STEPHANIE ELAINE GOODWIN MA, CSAC, QMHP
3405 PIPIT DR
ALEXANDRIA, VA 22306-2978
Phone number: 703-609-3338
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