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1235714437
JACK CARTER SYKSTUS
ALEXANDRIA, VA
NPI
1235714437
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: VA 0717001799)
Enumeration Date
2021-03-10
Last Update Date
2021-03-10
Business Address
JACK CARTER SYKSTUS LMFT
1900 MOUNT VERNON AVE
ALEXANDRIA, VA 22301-1302
Phone number: 202-960-4193
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Mailing Address
JACK CARTER SYKSTUS LMFT
817 L ST NE
WASHINGTON, DC 20002-3640
Phone number: 256-690-8024
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