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1962645721
DIANE MARIE GRINAGE
FAIRFAX, VA
NPI
1962645721
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: VA 2202005089)
Enumeration Date
2009-04-09
Last Update Date
2009-04-09
Business Address
-- DIANE MARIE GRINAGE M.A., M.S. - CCC/SLP
3750 OLD LEE HIGHWAY
FAIRFAX, VA 22030
Phone number: 703-246-7194
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Mailing Address
-- DIANE MARIE GRINAGE M.A., M.S. - CCC/SLP
8622 BLACKPOOL DR
ANNANDALE, VA 22003-4315
Phone number: 703-764-8222
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