Individual
ADRIENNE DEFORREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
264 OLD PERUVILLE RD, GROTON, NY 13073-8733
(607) 423-0886
Mailing address
264 OLD PERUVILLE RD, GROTON, NY 13073-8733
(607) 423-0886
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
NY
Other
Enumeration date
02/23/2019
Last updated
10/03/2025
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