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1104327212
CHRISTINA L. DETTBARN
VIRGINIA BEACH, VA
NPI
1104327212
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Other Name
TINA TAYLOR DETTBARN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: VA 2202007827)
Enumeration Date
2018-02-23
Last Update Date
2018-02-23
Business Address
Mrs. CHRISTINA L. DETTBARN MS, CCC-SLP
912 S BIRDNECK RD
VIRGINIA BEACH, VA 23451-4802
Phone number: 757-648-3720
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Mailing Address
Mrs. CHRISTINA L. DETTBARN MS, CCC-SLP
912 S BIRDNECK RD
VIRGINIA BEACH, VA 23451-4802
Phone number: 757-648-3720
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