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1306665310
INGRID P BASURTO
FAIRFAX, VA
NPI
1306665310
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 0704016140)
Enumeration Date
2024-10-07
Last Update Date
2024-10-07
Business Address
Mrs. INGRID P BASURTO
3919 BLENHEIM BLVD STE 83B
FAIRFAX, VA 22030-2430
Phone number: 571-559-2181
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Mailing Address
Mrs. INGRID P BASURTO
1922 S WALTER REED DR
ARLINGTON, VA 22204-5113
Phone number:
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