Individual
MR. MICHAEL D DEFORBES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDP
Contact information
Practice address
31 NORTH UNION STREET, PAWTUCKET, RI 02860
(401) 461-9110
Mailing address
31 NORTH UNION STREET, PAWTUCKET, RI 02860
(401) 725-2520
(401) 723-9595
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00466
RI
Other
Enumeration date
07/12/2010
Last updated
05/05/2017
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