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Individual

SAMANTHA ALYSE SHLAKMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
501 CHURCH ST NE, SUITE 217, VIENNA, VA 22180-4734
(202) 421-7408
Mailing address
1350 CONNECTICUT AVE NW STE 1225, WASHINGTON, DC 20036-1718
(202) 421-7408

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101248565
VA
2084P0800X
Psychiatry Physician
MD037466
DC

Other

Enumeration date
05/28/2009
Last updated
01/15/2013
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