Individual
MRS. DEIDRA ALEXANDER SORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1282 SMALLWOOD DR W, STE #250, WALDORF, MD 20603-4732
(240) 461-1305
Mailing address
1282 SMALLWOOD DR W, STE #250, WALDORF, MD 20603-4732
(240) 461-1305
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LC2388
MD
101YP2500X
Professional Counselor
PRC13819
DC
103TS0200X
School Psychologist
Primary
—
DC
Other
Enumeration date
03/22/2007
Last updated
10/16/2013
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