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1003499393
JASON NORTHRUP
ANNANDALE, VA
NPI
1003499393
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810008024)
Enumeration Date
2021-05-04
Last Update Date
2024-11-06
Business Address
JASON NORTHRUP PsyD
8928 FALLING CREEK CT
ANNANDALE, VA 22003-4108
Phone number: 585-414-4836
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Mailing Address
JASON NORTHRUP PsyD
8928 FALLING CREEK CT
ANNANDALE, VA 22003-4108
Phone number: 585-414-4836
Copy
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