Individual
HARRY PRINCE DESFORGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
213 S CONGRESS AVE, WEST PALM BEACH, FL 33409-3823
(561) 471-1688
Mailing address
213 S CONGRESS AVE, WEST PALM BEACH, FL 33409-3823
(561) 471-1688
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801349873
—
FL
Enumeration date
07/26/2016
Last updated
01/09/2024
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