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1144712449
BRIAN THOMAS SORG
BROADLANDS, VA
NPI
1144712449
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist, School
Enumeration Date
2018-06-01
Last Update Date
2018-06-01
Business Address
Mr. BRIAN THOMAS SORG Ed.S., NCSP
21000 EDUCATION CT
BROADLANDS, VA 20148-5526
Phone number: 571-252-1013
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Mailing Address
Mr. BRIAN THOMAS SORG Ed.S., NCSP
21000 EDUCATION CT
BROADLANDS, VA 20148-5526
Phone number: 571-252-1013
Copy
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