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1770059966
STEPHANIE REVOLLO
ALEXANDRIA, VA
NPI
1770059966
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2018-10-16
Last Update Date
2023-09-18
Business Address
Ms. STEPHANIE REVOLLO
1340 BRADDOCK PL
ALEXANDRIA, VA 22314-1693
Phone number: 703-619-8139
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Mailing Address
Ms. STEPHANIE REVOLLO
29 RICHARDSON AVE
HALEDON, NJ 07508-1714
Phone number: 973-900-2177
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