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Individual

DR. ANGELA LUZIO BOONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
7019 BACKLICK CT, SPRINGFIELD, VA 22151-3903
(703) 582-8858
Mailing address
10101 CROOKED CREEK CT, FAIRFAX STATION, VA 22039-2955
(703) 582-8858

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810003800
VA

Other

Enumeration date
02/06/2008
Last updated
02/06/2008
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