Individual
ISABELLA DUTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8033 HOLLAND RD, ALEXANDRIA, VA 22306-3133
(703) 780-9800
Mailing address
34 QUINCY PL NW APT A, WASHINGTON, DC 20001-0915
(443) 878-9102
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202011609
VA
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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