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1902476401
CHRISTINE PRIMUS
VIENNA, VA
NPI
1902476401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904008242)
Enumeration Date
2021-06-28
Last Update Date
2021-06-28
Business Address
CHRISTINE PRIMUS LCSW
501 CHURCH ST NE STE 209
VIENNA, VA 22180-4734
Phone number: 571-455-2915
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Mailing Address
CHRISTINE PRIMUS LCSW
13330 TANNERY CT
FAIRFAX, VA 22033-1419
Phone number: 571-323-1875
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