STEPHANIE MARIE DEATHERAGE

SANTA ANA, CA
NPI1669090346
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  ASW103089)
Enumeration Date2020-07-09
Last Update Date2022-12-27
Business Address
Mrs. STEPHANIE MARIE DEATHERAGE
405 W 5TH ST BLDG 38C
SANTA ANA, CA 92701-4599
Phone number: 949-290-0114
Mailing Address
Mrs. STEPHANIE MARIE DEATHERAGE
21881 UTE WAY
LAKE FOREST, CA 92630-3548
Phone number: 949-290-0114