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1477337855
ELIZABETH MALAVATHU
FAIRFAX, VA
NPI
1477337855
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC1900X Psychologist, Counseling
Enumeration Date
2023-08-24
Last Update Date
2023-08-24
Business Address
ELIZABETH MALAVATHU
10640 PAGE AVE STE 340
FAIRFAX, VA 22030-4012
Phone number: 571-999-4251
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Mailing Address
ELIZABETH MALAVATHU
4564 AIRLIE WAY
ANNANDALE, VA 22003-3517
Phone number:
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