MICHELLE DEFORREST

LEMON GROVE, CA
NPI1427422401
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-11-13
Last Update Date2015-11-13
Business Address
-- MICHELLE DEFORREST
2049 SKYLINE DR
LEMON GROVE, CA 91945-4221
Phone number: 619-465-7303
Mailing Address
-- MICHELLE DEFORREST
2049 SKYLINE DR
LEMON GROVE, CA 91945-4221
Phone number: 619-465-7303
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