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1790138170
TAI MICHELLE GORECKE
WOODBRIDGE, VA
NPI
1790138170
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: VA 2202008253)
Enumeration Date
2016-07-20
Last Update Date
2016-07-20
Business Address
TAI MICHELLE GORECKE M.S.
1936 OPITZ BLVD
WOODBRIDGE, VA 22191-3360
Phone number: 703-687-5875
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Mailing Address
TAI MICHELLE GORECKE M.S.
1936 OPITZ BLVD
WOODBRIDGE, VA 22191-3360
Phone number: 703-687-5875
Copy
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