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1174366330
JACK MERENDA
FAIRFAX, VA
NPI
1174366330
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: VA 0810005120)
Enumeration Date
2024-06-17
Last Update Date
2024-06-17
Business Address
JACK MERENDA PSYD
3921 BLENHEIM BLVD
FAIRFAX, VA 22030-2429
Phone number: 703-474-8905
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Mailing Address
JACK MERENDA PSYD
9306 OLD KEENE MILL RD STE B
BURKE, VA 22015-4280
Phone number: 703-474-8905
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