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1518568518
RUTH ILBOUDO
WOODBRIDGE, VA
NPI
1518568518
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904012349)
Enumeration Date
2020-11-05
Last Update Date
2020-11-05
Business Address
RUTH ILBOUDO LCSW
15732 JOHN DISKIN CIR
WOODBRIDGE, VA 22191-6550
Phone number: 310-218-8345
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Mailing Address
RUTH ILBOUDO LCSW
15732 JOHN DISKIN CIR
WOODBRIDGE, VA 22191-6550
Phone number: 310-218-8345
Copy
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