Individual
DIONNE DETOUCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35498 SOMERSET RIDGE RD, LOCUST GROVE, VA 22508-2159
(540) 907-1343
Mailing address
35498 SOMERSET RIDGE RD, LOCUST GROVE, VA 22508-2159
(540) 907-1343
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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