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Individual

DR. LEE RUBIN CHASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
10721 MAIN ST, SUITE 2350, FAIRFAX, VA 22030-6914
(703) 591-5912
(703) 591-7210
Mailing address
10721 MAIN ST, SUITE 2350, FAIRFAX, VA 22030-6914
(703) 591-5912
(703) 591-7210

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002159
VA

Other

Enumeration date
08/03/2005
Last updated
12/20/2007
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