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1730480740
MADELINE ANNE IVANCHENKO
MIDLOTHIAN, VA
NPI
1730480740
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810004312)
Enumeration Date
2010-11-07
Last Update Date
2010-11-09
Business Address
Dr. MADELINE ANNE IVANCHENKO Ph.D.
2342 COLONY CROSSING PL
MIDLOTHIAN, VA 23112-4280
Phone number: 804-639-1112
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Mailing Address
Dr. MADELINE ANNE IVANCHENKO Ph.D.
9097 ATLEE STATION RD SUITE 219
MECHANICSVILLE, VA 23116-2525
Phone number: 804-730-0432
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