Individual
MRS. DEBORAH LEAH ROTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CHT, BCD
Contact information
Practice address
5203 LYNGATE CT, BURKE, VA 22015-1632
(703) 239-0697
(703) 250-0594
Mailing address
5203 LYNGATE CT, BURKE, VA 22015-1632
(703) 239-0697
(703) 250-0594
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904003032
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0904003032
LICENSURE
VA
Enumeration date
06/27/2007
Last updated
07/08/2007
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