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Organization
WONDEROLOGIE LLC
Active
Organization
WONDEROLOGIE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARIN PURUGGANAN LPC (CEO)
(703) 835-4281
Entity
Organization
Contact information
Practice address
2312 MOUNT VERNON AVE STE 206, ALEXANDRIA, VA 22301-1375
(703) 835-4281
Mailing address
2312 MOUNT VERNON AVE STE 206, ALEXANDRIA, VA 22301-1375
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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