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1578073821
JORDAN WILSON
MANASSAS, VA
NPI
1578073821
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810005701)
Enumeration Date
2017-10-01
Last Update Date
2017-10-01
Business Address
Dr. JORDAN WILSON PsyD
8140 ASHTON AVE SUITE 200
MANASSAS, VA 20109
Phone number: 703-330-9933
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Mailing Address
Dr. JORDAN WILSON PsyD
301 W BROAD ST
FALLS CHURCH, VA 22046-3335
Phone number: 757-784-2454
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