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1588966907
STEPHANIE DEFOREST
MELBOURNE, FL
NPI
1588966907
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-11-18
Last Update Date
2010-11-18
Business Address
-- STEPHANIE DEFOREST
4450 W EAU GALLIE BLVD
MELBOURNE, FL 32934-7213
Phone number: 321-752-3197
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Mailing Address
-- STEPHANIE DEFOREST
4450 W EAU GALLIE BLVD
MELBOURNE, FL 32934-7213
Phone number: 321-752-3197
Copy
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