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1326308693
LAUREN JILL STAADEKER
VIENNA, VA
NPI
1326308693
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: VA 0810004586)
Enumeration Date
2012-05-21
Last Update Date
2023-03-29
Business Address
LAUREN JILL STAADEKER PSYD
308 SPRINGWOOD CT NE
VIENNA, VA 22180-3579
Phone number: 301-332-8098
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Mailing Address
LAUREN JILL STAADEKER PSYD
308 SPRINGWOOD CT NE
VIENNA, VA 22180-3579
Phone number: 301-332-8098
Copy
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