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1669166146
LAKESIDE PSYCHOLOGICAL LLC
FALLS CHURCH, VA
NPI
1669166146
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Entity Type
Organization
Authorized Contact
NICHOLLE MICHALSKI
Owner
509-850-1014
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2023-06-07
Last Update Date
2023-06-07
Business Address
LAKESIDE PSYCHOLOGICAL LLC
3403 STONEYBRAE DR
FALLS CHURCH, VA 22044-1225
Phone number: 509-850-1014
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Mailing Address
LAKESIDE PSYCHOLOGICAL LLC
3403 STONEYBRAE DR
FALLS CHURCH, VA 22044-1225
Phone number: 509-850-1014
Copy
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