Provider Demographics
NPI:1235378084
Name:DALBY, DEBRA M (LCSW)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:M
Last Name:DALBY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 S KING ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20175-3018
Mailing Address - Country:US
Mailing Address - Phone:703-507-7431
Mailing Address - Fax:703-771-8822
Practice Address - Street 1:208 S KING ST
Practice Address - Street 2:SUITE 202
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20175-3018
Practice Address - Country:US
Practice Address - Phone:703-507-7431
Practice Address - Fax:703-771-8822
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-18
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040038001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical