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1972794642
JEANINE RUTH CARLSON
MC LEAN, VA
NPI
1972794642
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 2073)
Enumeration Date
2007-08-07
Last Update Date
2012-09-11
Business Address
-- JEANINE RUTH CARLSON Ph.D.
1487 CHAIN BRIDGE RD SUITE 202
MC LEAN, VA 22101-5723
Phone number: 703-919-0917
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Mailing Address
-- JEANINE RUTH CARLSON Ph.D.
1487 CHAIN BRIDGE RD SUITE 202
MC LEAN, VA 22101-5723
Phone number: 703-919-0917
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