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1366270464
STEPHEN DONAL INDRISANO
WASHINGTON, DC
NPI
1366270464
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: VA 2204001426)
Enumeration Date
2024-07-22
Last Update Date
2024-07-22
Business Address
STEPHEN DONAL INDRISANO
1414 17TH ST NW APT 503
WASHINGTON, DC 20036-6412
Phone number: 301-646-9543
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Mailing Address
STEPHEN DONAL INDRISANO
1414 17TH ST NW APT 503
WASHINGTON, DC 20036-6412
Phone number: 301-646-9543
Copy
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