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1447022736
VIRGINIA GALLUP LARSEN
MC LEAN, VA
NPI
1447022736
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: VA 0810007625)
Enumeration Date
2023-10-30
Last Update Date
2023-10-30
Business Address
VIRGINIA GALLUP LARSEN Psy.D; LCP
8401 GREENSBORO DR STE 550
MC LEAN, VA 22102-5146
Phone number: 703-447-7728
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Mailing Address
VIRGINIA GALLUP LARSEN Psy.D; LCP
21071 STANFORD SQ APT 302
STERLING, VA 20166-2465
Phone number: 703-447-7728
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