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Individual

ALICIA SABINA VASQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10015 OLD COLUMBIA RD STE F100, COLUMBIA, MD 21046-1755
(443) 741-8788
Mailing address
15414 CALSHOT CT, LAUREL, MD 20707-2967
(301) 377-9172

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
05/03/2022
Last updated
05/03/2022
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