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1972813467
MARY ANNE ELLIS
VIENNA, VA
NPI
1972813467
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: VA 0810004323)
Enumeration Date
2010-10-18
Last Update Date
2010-10-18
Business Address
Dr. MARY ANNE ELLIS JD,PsyD
133 PARK ST NE
VIENNA, VA 22180-4602
Phone number: 703-281-2657
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Mailing Address
Dr. MARY ANNE ELLIS JD,PsyD
133 PARK ST NE
VIENNA, VA 22180-4602
Phone number: 703-281-2657
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