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1912452327
MINDSHAPE LLC
FALLS CHURCH, VA
NPI
1912452327
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Entity Type
Organization
Authorized Contact
GARY SPIVACK
Owner
703-841-1290
Organization Subpart ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
Enumeration Date
2016-08-16
Last Update Date
2016-08-16
Business Address
MINDSHAPE LLC
2960 SLEEPY HOLLOW RD
FALLS CHURCH, VA 22044-2030
Phone number: 703-536-2000
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Mailing Address
MINDSHAPE LLC
2501 N GLEBE RD SUITE 303
ARLINGTON, VA 22207-3558
Phone number: 703-841-1290
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