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1386704658
MAUREEN LYDEN PORTER
FALLS CHURCH, VA
NPI
1386704658
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810001934)
Enumeration Date
2006-12-09
Last Update Date
2007-07-08
Business Address
Dr. MAUREEN LYDEN PORTER Ph.D
254 N WASHINGTON ST
FALLS CHURCH, VA 22046-4517
Phone number: 703-536-6744
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Mailing Address
Dr. MAUREEN LYDEN PORTER Ph.D
254 N WASHINGTON ST
FALLS CHURCH, VA 22046-4517
Phone number: 703-536-6744
Copy
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