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1063942670
JACQUELYN MARIE BRANNOCK
MANASSAS, VA
NPI
1063942670
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904009902)
Enumeration Date
2017-06-15
Last Update Date
2022-07-21
Business Address
JACQUELYN MARIE BRANNOCK LCSW
7969 ASHTON AVE
MANASSAS, VA 20109
Phone number: 703-792-7800
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Mailing Address
JACQUELYN MARIE BRANNOCK LCSW
7969 ASHTON AVE
MANASSAS, VA 20109-2885
Phone number: 703-792-7800
Copy
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