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1548830383
ALICIA DIANE GOOSSENS
MANASSAS PARK, VA
NPI
1548830383
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: VA 2204000754)
Enumeration Date
2021-06-24
Last Update Date
2021-06-24
Business Address
ALICIA DIANE GOOSSENS
8202 EUCLID AVE
MANASSAS PARK, VA 20111-2353
Phone number: 703-361-1510
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Mailing Address
ALICIA DIANE GOOSSENS
8202 EUCLID AVE
MANASSAS PARK, VA 20111-2353
Phone number:
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