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1811093149
KELLY HEIGES THEIS
VIENNA, VA
NPI
1811093149
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 081003318)
Enumeration Date
2006-09-15
Last Update Date
2015-09-01
Business Address
-- KELLY HEIGES THEIS Ph.D
8381 OLD COURTHOUSE ROAD SUITE 330
VIENNA, VA 22182-1670
Phone number: 703-938-9090
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Mailing Address
-- KELLY HEIGES THEIS Ph.D
1428 ALDENHAM LN
RESTON, VA 20190-3901
Phone number: 703-864-5416
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