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1679817548
JANICE LOUISE FRISTAD
LEESBURG, VA
NPI
1679817548
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904007920)
Enumeration Date
2012-11-16
Last Update Date
2022-09-14
Business Address
JANICE LOUISE FRISTAD LCSW, LGSW, CAE
2 CARDINAL PARK DR SE STE 104A
LEESBURG, VA 20175-4448
Phone number: 703-980-9715
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Mailing Address
JANICE LOUISE FRISTAD LCSW, LGSW, CAE
1206 MUSKET CT NE
LEESBURG, VA 20176-4805
Phone number: 703-474-6202
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MINUTECLINIC DIAGNOSTIC OF VIRGINIA LLC