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Jennifer
Jennifer
Lail
Psychologist
Springfield, United States
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Florida Health Care Practitioner Data Portal
Full name
Jennifer Lail
Job Title
Psychologist
Location
Springfield, VA, USA
LIC ID
11061
Current License Expiration Date
31/05/2024
Original Date
28/02/2022
Professional Rank Code
PY
Effective Date
28/02/2022
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
Out of State
Practice Location Address Line 1
7753 MIDDLE 7753 MIDDLE VALLEY DR
Practice Location Address City
SPRINGFIELD
Practice Location Address State
VA
Practice Location Address Zipcode
22153
Mode Code
Qualified Supervisor MHC
Prescribing Indicator
N
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