ALICIA DIANE GOOSSENS

MANASSAS PARK, VA
NPI1548830383
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: VA  2204000754)
Enumeration Date2021-06-24
Last Update Date2021-06-24
Business Address
ALICIA DIANE GOOSSENS
8202 EUCLID AVE
MANASSAS PARK, VA 20111-2353
Phone number: 703-361-1510
Mailing Address
ALICIA DIANE GOOSSENS
8202 EUCLID AVE
MANASSAS PARK, VA 20111-2353
Phone number: