SANDRA L DETTRA

LEESBURG, VA
NPI1245637107
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA  0710000797)
Enumeration Date2014-11-20
Last Update Date2014-11-20
Business Address
-- SANDRA L DETTRA BSW CSAC
15D LOUDOUN ST SW
LEESBURG, VA 20175-2908
Phone number: 703-362-6682
Mailing Address
-- SANDRA L DETTRA BSW CSAC
15D LOUDOUN ST SW
LEESBURG, VA 20175-2908
Phone number: 703-362-6682