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Individual

MS. CAROLYN JACKSON SAHNI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
922 NINOVAN RD SE, VIENNA, VA 22180
(703) 281-4850
(703) 281-7832
Mailing address
922 NINOVAN RD SE, VIENNA, VA 22180-5970
(703) 281-3172
(703) 281-7832

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
0810001239
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
541462621
VA
05
56-2641681
VA
Enumeration date
05/22/2007
Last updated
11/11/2008
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