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Organization
MAKING A DIFFERENCE ASSOCIATION, INC.
Active
Organization
MAKING A DIFFERENCE ASSOCIATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY DE HESA (EXECUTIVE DIRECTOR)
(909) 420-0413
Entity
Organization
Contact information
Practice address
1430 E COOLEY DRIVE, STE 111, COLTON, CA 92324
(909) 420-0413
(909) 510-0410
Mailing address
1430 E COOLEY DRIVE, STE 111, COLTON, CA 92324
(909) 420-0413
(909) 510-0410
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/21/2020
Last updated
01/21/2020
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