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1578810875
JESSICA O KOSTELNIK
CHARLOTTESVILLE, VA
NPI
1578810875
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810004607)
Enumeration Date
2012-08-07
Last Update Date
2012-08-07
Business Address
Dr. JESSICA O KOSTELNIK Ph.D., LCP
205 E HIGH ST
[email protected]
CHARLOTTESVILLE, VA 22902-5516
Phone number: 434-963-0324
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Mailing Address
Dr. JESSICA O KOSTELNIK Ph.D., LCP
205 EAST HIGH STREET
[email protected]
CHARLOTTESVILLE, VA 22902
Phone number: 434-963-0324
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