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1578109435
CARISSA COUGHLIN
MC LEAN, VA
NPI
1578109435
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-11-25
Last Update Date
2019-11-25
Business Address
CARISSA COUGHLIN
1651 OLD MEADOW RD
MC LEAN, VA 22102-4311
Phone number: 800-828-5659
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Mailing Address
CARISSA COUGHLIN
6 CARLY CT
MONROE TOWNSHIP, NJ 08831-5900
Phone number: 732-425-9167
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