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1023415395
MICHAEL DEGRUTT
RIVERSIDE, CA
NPI
1023415395
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-12-02
Last Update Date
2024-11-05
Business Address
MICHAEL DEGRUTT LMFT
2085 RUSTIN AVE
RIVERSIDE, CA 92507-2498
Phone number: 951-715-5040
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Mailing Address
MICHAEL DEGRUTT LMFT
1405 SPRUCE ST A
RIVERSIDE, CA 92507-2464
Phone number: 951-715-5040
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