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1114361037
RUSS REYNOLDS
ALEXANDRIA, VA
NPI
1114361037
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: TN P1422)
Enumeration Date
2013-04-22
Last Update Date
2022-04-22
Business Address
RUSS REYNOLDS Ph.D.
7701 TELEGRAPH RD BLDG 2596
ALEXANDRIA, VA 22315-3822
Phone number: 703-664-5006
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Mailing Address
RUSS REYNOLDS Ph.D.
301 BEAR CREEK RD. P.O. BOX 2009
OAK RIDGE, TN 37831-2820
Phone number: 865-574-3434
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