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1760684450
CORNELIA HAWKINS LONG
WOODBRIDGE, VA
NPI
1760684450
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: VA 2202004350)
Enumeration Date
2007-06-04
Last Update Date
2007-07-08
Business Address
Mrs. CORNELIA HAWKINS LONG M.S. CCC-SLP
2544 PORT POTOMAC AVE
WOODBRIDGE, VA 22191-1464
Phone number: 703-409-1822
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Mailing Address
Mrs. CORNELIA HAWKINS LONG M.S. CCC-SLP
2544 PORT POTOMAC AVE
WOODBRIDGE, VA 22191-1464
Phone number: 703-409-1822
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