Dettra, Sandra L
Dettra, Sandra L is an sole proprietor health care provider with primary practice located at 15D Loudoun St Sw , Leesburg VA 20175-2908. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Dettra, Sandra L can be contacted via phone (703) 362-6682.Contact Information
Primary practice address
15D Loudoun St Sw
Leesburg VA 20175-2908
Phone: (703) 362-6682
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0710000797 | Virginia |
Profile Details
| NPI number | 1245637107 |
|---|---|
| LBN Legal business name | Dettra, Sandra L |
| Credentials | BSW CSAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 20th, 2014 |
| Last updated | Nov 20th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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