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1427571629
CARLY IKUMA
FAIRFAX, VA
NPI
1427571629
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: VA 0701006987)
Enumeration Date
2017-07-19
Last Update Date
2017-08-18
Business Address
CARLY IKUMA
9663 MAIN ST STE D
FAIRFAX, VA 22031-3758
Phone number: 703-303-8832
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Mailing Address
CARLY IKUMA
9663 MAIN ST STE D
FAIRFAX, VA 22031-3758
Phone number:
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