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Individual

ELIZABETH KNAKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
5691 COLUMBIA PIKE, FALLS CHURCH, VA 22041-2887
(703) 998-5606
Mailing address
3815 WARREN ST NW, WASHINGTON, DC 20016-2234
(610) 812-1288

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810004942
VA
103T00000X
Psychologist
PSY1001042
DC

Other

Enumeration date
05/22/2016
Last updated
05/22/2016
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