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1629640891
DEIDRE DETLOFF
HINESVILLE, GA
NPI
1629640891
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-07-15
Last Update Date
2021-07-15
Business Address
DEIDRE DETLOFF
1518 AIRPORT RD
HINESVILLE, GA 31313-9439
Phone number: 912-559-5536
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Mailing Address
DEIDRE DETLOFF
616 UNION ST
BRUNSWICK, GA 31520-8213
Phone number: 912-269-5009
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