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1609982982
VIRGINIA M. KOUTSOUROS
PHILADELPHIA, PA
NPI
1609982982
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: PA PS015772)
Enumeration Date
2006-08-21
Last Update Date
2013-04-10
Business Address
Dr. VIRGINIA M. KOUTSOUROS Psy.D.
5619-25 VINE STREET
PHILADELPHIA, PA 19139-1302
Phone number: 215-471-2761
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Mailing Address
Dr. VIRGINIA M. KOUTSOUROS Psy.D.
1006 STRATFORD AVE
MELROSE PARK, PA 19027-3025
Phone number: 215-782-8972
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