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1215448055
JENNIFER LYNN SUTHERLAND
PETERSBURG, VA
NPI
1215448055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810005846)
Enumeration Date
2017-10-19
Last Update Date
2017-10-19
Business Address
JENNIFER LYNN SUTHERLAND PhD
350 POPLAR DR
PETERSBURG, VA 23805-9367
Phone number: 804-733-6874
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Mailing Address
JENNIFER LYNN SUTHERLAND PhD
422 HIGH ST APT 202
PETERSBURG, VA 23803-3818
Phone number: 252-883-3788
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