Individual
SHABNAM FOROUZIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 CARPENTER DR, STERLING, VA 20164-7117
(571) 234-1804
Mailing address
107 CARPENTER DR, STERLING, VA 20164-7117
(571) 234-1804
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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