CNOC Affiliated Staff Application

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*Specialty:	Select one or more of the following specialties: Adult Congenital Cardiologist Anesthesiologist Cardiac Surgeon Child Life Clinical Psychologist Developmental Pediatrician Educational Liaison Individual with CHD Intensivist Neonatologist Neurologist Neuropsychologist Neuroradiologist Nurse Nurse, Advanced Practice Other relationship with CHD Other relative of someone with CHD Parent of someone with CHD Patient/Caregiver Pediatric Cardiologist Physician, other Psychiatrist Research Social Worker Therapist, Occupational Therapist, Physical Therapist, Speech Other
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2209 Dickens Road, Richmond, VA 23230-2005
Phone: 804-565-6397 · Fax: 804-282-0090 · Email cnoc@cardiacneuro.org
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