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Individual

DANIEL WHITTAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2 CARDINAL PARK DR SE, SUITE 104A, LEESBURG, VA 20175-4448
(703) 727-1699
Mailing address
2 CARDINAL PARK DR SE, SUITE 104A, LEESBURG, VA 20175-4448
(703) 727-1699

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0803000216
VA

Other

Enumeration date
06/23/2015
Last updated
06/23/2015
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