Provider Information for 1801494489
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KHALIDA JAHED LCSW
Sex: Female
NPI: 1801494489
Last Updated: 2020-10-15
Certification Date: 2020-10-15
Certification Date: 2020-10-15
Details
Name | Value | ||||||||
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NPI | 1801494489 | ||||||||
Enumeration Date | 2020-10-15 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 7969 ASHTON AVE MANASSAS, VA 20109-2885 United States Phone: 703-792-7800 | Fax:703-792-5699 | ||||||||
Primary Practice Address | 7969 ASHTON AVE MANASSAS, VA 20109-2885 United States Phone: 703-792-7800 | Fax:703-792-5699 | ||||||||
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