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Data Detail

Name: Anna Katherine Black 

Designation: Ph.D

Issue Date: 1/10/2020

Expiration Date: 6/30/2025

License Number: 60 1047

Disciplinary Action: None

Company: GI Psychology

City: Burke

State: VA

Zip: 22015

Work Phone: (703) 910-2577  Ext:

Civil Commitment Certification: