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1043362197
CHARLES ERNEST BURT
RESTON, VA
NPI
1043362197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: VA 0810001508)
Enumeration Date
2007-01-17
Last Update Date
2020-02-29
Business Address
DR. CHARLES ERNEST BURT PH.D.
1800 MICHAEL FARADAY DR STE 206
RESTON, VA 20190-5312
Phone number: 703-899-3290
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Mailing Address
DR. CHARLES ERNEST BURT PH.D.
22563 FOREST MANOR DR
ASHBURN, VA 20148-6900
Phone number: 703-899-3290
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