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1306081179
PAULA DEFOREST
WEST MELBOURNE, FL
NPI
1306081179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: FL PY0004766)
Enumeration Date
2008-12-09
Last Update Date
2009-09-29
Business Address
Dr. PAULA DEFOREST PhD
2020 COMMERCE DR
WEST MELBOURNE, FL 32904-2335
Phone number: 321-952-6000
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Mailing Address
Dr. PAULA DEFOREST PhD
2290 ROCKLEDGE DR
ROCKLEDGE, FL 32955-5404
Phone number: 321-305-5068
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