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1043568975
ETHAN SIEGEL
FALLS CHURCH, VA
NPI
1043568975
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810004627)
Enumeration Date
2012-08-27
Last Update Date
2016-10-17
Business Address
-- ETHAN SIEGEL Psy.D.
6400 SEVEN CORNERS PL SUITE R
FALLS CHURCH, VA 22044-2009
Phone number: 703-819-6177
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Mailing Address
-- ETHAN SIEGEL Psy.D.
6400 SEVEN CORNERS PL SUITE R
FALLS CHURCH, VA 22044-2009
Phone number:
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