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1962002444
CARISSA UNGTRAKUL
STAFFORD, VA
NPI
1962002444
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-10-26
Last Update Date
2020-10-26
Business Address
CARISSA UNGTRAKUL
35 WALPOLE ST STE 207
STAFFORD, VA 22554-6546
Phone number: 540-383-7133
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Mailing Address
CARISSA UNGTRAKUL
35 WALPOLE ST STE 207
STAFFORD, VA 22554-6546
Phone number:
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