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1659871226
LEE ANTHONY WHITE
MANASSAS, VA
NPI
1659871226
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: VA 2202001979)
Enumeration Date
2018-02-20
Last Update Date
2018-02-20
Business Address
Mr. LEE ANTHONY WHITE MS, CCC-SLP
14715 BRISTOW RD
MANASSAS, VA 20112-3945
Phone number: 703-791-8078
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Mailing Address
Mr. LEE ANTHONY WHITE MS, CCC-SLP
1686 DEVIL LN
WOODBRIDGE, VA 22192-2831
Phone number: 703-517-9639
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