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Individual

DR. REX RUSSELL VOGAN II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
44121 HARRY BYRD HWY, SUITE 255, ASHBURN, VA 20147-5667
(410) 507-3777
Mailing address
44121 HARRY BYRD HWY, SUITE 255, ASHBURN, VA 20147-5667
(410) 507-3777

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004000
VA

Other

Enumeration date
09/23/2008
Last updated
09/23/2008
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