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1780158931
ELISSA LEA JARVIS
CHESAPEAKE, VA
NPI
1780158931
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Former Name
ELISSA LEA BRAUCHLE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810006131)
Enumeration Date
2019-01-21
Last Update Date
2019-01-21
Business Address
ELISSA LEA JARVIS PsyD, LCP
2010 OLD GREENBRIER RD STE J
CHESAPEAKE, VA 23320-2619
Phone number: 757-493-2912
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Mailing Address
ELISSA LEA JARVIS PsyD, LCP
318 DARBY AVE
HAMPTON, VA 23663-1306
Phone number: 757-450-4201
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