Individual
DEIDRE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
5302 W 93RD ST, #5, LOS ANGELES, CA 90045-7376
(310) 365-8721
Mailing address
5302 W 93RD ST, #5, LOS ANGELES, CA 90045-7376
(310) 365-8721
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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