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1417107350
CAROL REEVES WOODALL
FAIRFAX, VA
NPI
1417107350
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TM1800X Psychologist, Intellectual & Developmental Disabilities
(Licence: VA 0-07-2427)
Enumeration Date
2008-09-29
Last Update Date
2008-09-29
Business Address
-- CAROL REEVES WOODALL BCaBA
3938 BRADWATER ST
FAIRFAX, VA 22031-3704
Phone number: 703-635-9075
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Mailing Address
-- CAROL REEVES WOODALL BCaBA
3938 BRADWATER ST
FAIRFAX, VA 22031-3704
Phone number: 703-635-9075
Copy
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