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1104049808
LISA LILENFELD
RESTON, VA
NPI
1104049808
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810003795)
Enumeration Date
2007-04-11
Last Update Date
2007-07-08
Business Address
Dr. LISA LILENFELD Ph.D.
1800 MICHAEL FARADAY DR SUITE 206
RESTON, VA 20190-5354
Phone number: 703-526-5878
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Mailing Address
Dr. LISA LILENFELD Ph.D.
2510 BRANDING IRON CT
HERNDON, VA 20171-2947
Phone number: 703-526-5878
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