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1770315715
RIAZUL ISLAM
WOODBRIDGE, VA
NPI
1770315715
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810008546)
Enumeration Date
2024-08-19
Last Update Date
2024-08-19
Business Address
RIAZUL ISLAM Psy.D.
2680 OPITZ BLVD STE 220
WOODBRIDGE, VA 22192-6821
Phone number: 703-497-1771
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Mailing Address
RIAZUL ISLAM Psy.D.
16934 MONMOUTH CT
DUMFRIES, VA 22026-3252
Phone number: 757-705-6557
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