Dusantos, Laurencia C.D.L.

Dusantos, Laurencia C.D.L. is an sole proprietor health care provider with primary practice located at 904 Princess Anne St Ste 402 , Fredericksburg VA 22401-5804. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dusantos, Laurencia C.D.L. can be contacted via phone (785) 375-0375.

Contact Information

Primary practice address
904 Princess Anne St Ste 402 Fredericksburg VA 22401-5804
Phone: (785) 375-0375
Fax: (785) 375-0375
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810005067 Virginia

Profile Details

NPI number 1902074982
LBN Legal business name Dusantos, Laurencia C.D.L.
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2008
Last updated Mar 19th, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902074982 NPPES
Maryland MEDICAID 58956180

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