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1972933364
KIM HAVENNER
FAIRFAX, VA
NPI
1972933364
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810004884)
Enumeration Date
2013-11-21
Last Update Date
2013-11-21
Business Address
Dr. KIM HAVENNER Psy.D.
10805 MAIN ST STE 500
FAIRFAX, VA 22030-4747
Phone number: 703-283-4153
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Mailing Address
Dr. KIM HAVENNER Psy.D.
10714 SCOTT DR
FAIRFAX, VA 22030-3023
Phone number: 703-283-4153
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