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MS. STEPHANIE ANNE BIGELOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CSAC

Contact information

Practice address
8422 ELECTRIC AVE, VIENNA, VA 22182-5109
(703) 849-1312
Mailing address
8422 ELECTRIC AVE, VIENNA, VA 22182-5109
(703) 849-1312

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
0710101517
VA

Other

Enumeration date
01/02/2008
Last updated
01/02/2008
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