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1982603692
TARA WALL BROWN
FAIRFAX, VA
NPI
1982603692
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Former Name
TARA WALL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: VA 0810003400)
Enumeration Date
2005-07-15
Last Update Date
2011-11-10
Business Address
TARA WALL BROWN PSYD
8500 EXECUTIVE PARK AVE SUITE 200
FAIRFAX, VA 22031-2225
Phone number: 703-698-5200
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Mailing Address
TARA WALL BROWN PSYD
8500 EXECUTIVE PARK AVE SUITE 200
FAIRFAX, VA 22031-2225
Phone number: 703-698-5200
Copy
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