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1356339709
TERRY WAYNE JEFFERSON
LYNCHBURG, VA
NPI
1356339709
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810001866)
Enumeration Date
2005-10-10
Last Update Date
2007-07-08
Business Address
Dr. TERRY WAYNE JEFFERSON Ph.D.
3209 FOREST BROOK RD
LYNCHBURG, VA 24501-3001
Phone number: 434-385-0744
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Mailing Address
Dr. TERRY WAYNE JEFFERSON Ph.D.
3209 FOREST BROOK RD
LYNCHBURG, VA 24501-3001
Phone number:
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