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1891156147
JENNIFER LYNN BROCK
MANASSAS, VA
NPI
1891156147
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Former Name
JENNIFER LYNN JORDAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: VA 0701006513)
Enumeration Date
2016-03-15
Last Update Date
2021-07-23
Business Address
JENNIFER LYNN BROCK LPC
7969 ASHTON AVE
MANASSAS, VA 20109-2885
Phone number: 703-792-7800
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Mailing Address
JENNIFER LYNN BROCK LPC
7969 ASHTON AVE
MANASSAS, VA 20109-2885
Phone number: 703-792-7800
Copy
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