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1508684044
JORDAN LINDSEY KOONTZ
RICHMOND, VA
NPI
1508684044
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: VA PPS-0608813)
Enumeration Date
2024-10-02
Last Update Date
2024-10-02
Business Address
JORDAN LINDSEY KOONTZ
600 S LABURNUM AVE
RICHMOND, VA 23223-5802
Phone number: 804-226-8745
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Mailing Address
JORDAN LINDSEY KOONTZ
3820 NINE MILE RD
RICHMOND, VA 23223-4831
Phone number: 804-652-3600
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