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1922319789
MEGAN FULLEN
WOODBRIDGE, VA
NPI
1922319789
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904007263)
Enumeration Date
2010-06-27
Last Update Date
2021-06-02
Business Address
Mrs. MEGAN FULLEN LCSW
14377 HEREFORD RD
WOODBRIDGE, VA 22193-2107
Phone number: 703-878-6670
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Mailing Address
Mrs. MEGAN FULLEN LCSW
4820 PINEY BRANCH RD
FAIRFAX, VA 22030-6233
Phone number: 703-266-2694
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