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1063018992
JAMES ROBERT LIPPOLD
VIENNA, VA
NPI
1063018992
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 090412388)
Enumeration Date
2020-12-07
Last Update Date
2020-12-07
Business Address
Mr. JAMES ROBERT LIPPOLD LCSW-0904012388
115 BEULAH ROAD, NE SUITE 200-B
VIENNA, VA 22180
Phone number: 703-255-7012
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Mailing Address
Mr. JAMES ROBERT LIPPOLD LCSW-0904012388
169 EAST STREET, NE
VIENNA, VA 22180
Phone number: 703-919-1668
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