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1861825317
THOMAS JOHN MULLIGAN
FAIRFAX, VA
NPI
1861825317
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904001079)
Enumeration Date
2013-08-19
Last Update Date
2013-08-19
Business Address
-- THOMAS JOHN MULLIGAN lcsw
3923 OLD LEE HWY
FAIRFAX, VA 22030-2428
Phone number: 703-764-5298
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Mailing Address
-- THOMAS JOHN MULLIGAN lcsw
3923 OLD LEE HWY
FAIRFAX, VA 22030-2428
Phone number: 703-764-5298
Copy
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