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1245637107
SANDRA L DETTRA
LEESBURG, VA
NPI
1245637107
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA 0710000797)
Enumeration Date
2014-11-20
Last Update Date
2014-11-20
Business Address
-- SANDRA L DETTRA BSW CSAC
15D LOUDOUN ST SW
LEESBURG, VA 20175-2908
Phone number: 703-362-6682
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Mailing Address
-- SANDRA L DETTRA BSW CSAC
15D LOUDOUN ST SW
LEESBURG, VA 20175-2908
Phone number: 703-362-6682
Copy
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