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1790255198
MICHAEL MASCOLO
VIRGINIA BEACH, VA
NPI
1790255198
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: VA 2204000175)
Enumeration Date
2018-11-28
Last Update Date
2018-11-28
Business Address
MICHAEL MASCOLO SLP
2213 ROUND HILL DR
VIRGINIA BEACH, VA 23464-8855
Phone number: 757-648-2520
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Mailing Address
MICHAEL MASCOLO SLP
2605 ARABIAN DR
VIRGINIA BEACH, VA 23456-8027
Phone number: 251-979-3119
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