MIRINDA MARIE DETLOFF

DALLAS, TX
NPI1306336532
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2018-05-14
Last Update Date2021-07-06
Business Address
MIRINDA MARIE DETLOFF
6803 HILLCREST AVE
DALLAS, TX 75205-1308
Phone number: 855-223-7123
Mailing Address
MIRINDA MARIE DETLOFF
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 855-223-7123
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