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1487150215
DEBRA LANE
FAIRFAX, VA
NPI
1487150215
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: VA 0813000473)
Enumeration Date
2018-04-02
Last Update Date
2018-04-02
Business Address
Mrs. DEBRA LANE
8270 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031-4511
Phone number: 703-208-2418
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Mailing Address
Mrs. DEBRA LANE
8270 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031-4511
Phone number:
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