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1417225863
JENNIFER LYNN SHORE
FAIRFAX, VA
NPI
1417225863
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810004513)
Enumeration Date
2011-12-13
Last Update Date
2016-12-15
Business Address
Dr. JENNIFER LYNN SHORE Psy.D.
3554 CHAIN BRIDGE RD SUITE 103
FAIRFAX, VA 22030-2709
Phone number: 703-896-7628
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Mailing Address
Dr. JENNIFER LYNN SHORE Psy.D.
3554 CHAIN BRIDGE RD SUITE 103
FAIRFAX, VA 22030-2709
Phone number: 703-896-7628
Copy
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