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1063489862
CHARLA JEANINE WHITE
MANASSAS, VA
NPI
1063489862
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Former Name
CHARLA JEANINE WIGGINS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810003345)
Enumeration Date
2006-03-01
Last Update Date
2009-08-18
Business Address
Dr. CHARLA JEANINE WHITE
9625 SURVEYOR CT SUITE 200
MANASSAS, VA 20110-4422
Phone number: 703-330-9933
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Mailing Address
Dr. CHARLA JEANINE WHITE
2997 STOCKHOLM WAY
WOODBRIDGE, VA 22191-4286
Phone number: 703-680-5146
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