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1760539456
STACIE ANN PORTER
MANASSAS, VA
NPI
1760539456
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: VA 2202002852)
Enumeration Date
2007-01-04
Last Update Date
2007-07-08
Business Address
Mrs. STACIE ANN PORTER M.S.,CCC-SLP
7969 ASHTON AVE
MANASSAS, VA 20109-2885
Phone number: 703-792-7800
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Mailing Address
Mrs. STACIE ANN PORTER M.S.,CCC-SLP
7969 ASHTON AVE
MANASSAS, VA 20109-2885
Phone number: 703-792-7800
Copy
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