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1144570771
JEANINE R. CARLSON, PHD, LLC
MC LEAN, VA
NPI
1144570771
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Entity Type
Organization
Authorized Contact
JEANINE R CARLSON
Owner
703-919-0917
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA VA2078)
Enumeration Date
2012-09-11
Last Update Date
2012-09-11
Business Address
JEANINE R. CARLSON, PHD, LLC
1487 CHAIN BRIDGE RD STE 202
MC LEAN, VA 22101-5723
Phone number: 703-919-0917
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Mailing Address
JEANINE R. CARLSON, PHD, LLC
1487 CHAIN BRIDGE RD STE 202
MC LEAN, VA 22101-5723
Phone number: 703-919-0917
Copy
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