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1720102817
SUSAN R ALLEN
FAIRFAX, VA
NPI
1720102817
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA 89004)
Enumeration Date
2007-03-16
Last Update Date
2007-07-08
Business Address
Ms. SUSAN R ALLEN CAC
8550 LEE HWY
FAIRFAX, VA 22031-1515
Phone number: 703-207-2818
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Mailing Address
Ms. SUSAN R ALLEN CAC
2101 E JEFFERSON ST KAISER PERMANENTE, PPQA, 6 WEST, ATTN: THERESA BROOKS
ROCKVILLE, MD 20852-4908
Phone number: 301-816-6660
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