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1356860969
JAN R FORD
WOODBRIDGE, VA
NPI
1356860969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA 0710000978)
Enumeration Date
2017-09-14
Last Update Date
2017-09-14
Business Address
JAN R FORD MA CSAC
14904 JEFFERSON DAVIS HWY STE 209
WOODBRIDGE, VA 22191-3908
Phone number: 703-595-4566
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Mailing Address
JAN R FORD MA CSAC
14904 JEFFERSON DAVIS HWY STE 209
WOODBRIDGE, VA 22191-3908
Phone number: 703-595-4566
Copy
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