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Individual

DR. LARA ELIZABETH GLENN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
10432 PATRIOT HWY, FREDERICKSBURG, VA 22408-2628
(804) 675-5000
Mailing address
7922 TOWERBELL CT, ANNANDALE, VA 22003-1452

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
03/18/2025
Last updated
03/18/2025
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