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1215600192
JENNA ELISE DELFORGE
SANTA CRUZ, CA
NPI
1215600192
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2021-07-27
Last Update Date
2021-07-27
Business Address
JENNA ELISE DELFORGE
380 ENCINAL ST STE 200
SANTA CRUZ, CA 95060-2178
Phone number: 831-469-1700
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Mailing Address
JENNA ELISE DELFORGE
380 ENCINAL ST STE 200
SANTA CRUZ, CA 95060-2178
Phone number: 831-469-1700
Copy
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