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1184918401
MARTINA PAVLICEK
FAIRFAX, VA
NPI
1184918401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810004418)
Enumeration Date
2011-06-03
Last Update Date
2011-06-03
Business Address
Dr. MARTINA PAVLICEK Psy.D.
11130 FAIRFAX BLVD STE 305
FAIRFAX, VA 22030-5035
Phone number: 703-691-1326
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Mailing Address
Dr. MARTINA PAVLICEK Psy.D.
205 YOAKUM PKWY UNIT 1802
ALEXANDRIA, VA 22304-3852
Phone number: 202-744-4065
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