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PHINNILLIPA DEGRUY

>> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1124221643

Individual Registrant:
 PHINNILLIPA  DEGRUY 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
127 GRENADINE WAY  HERCULES, CA 94547-2041 US
Tel: 510-799-1570  Fax: 510-799-1866

Contact information for business:
1901 CHURCH LN  SAN PABLO, CA 94806-3707 US
Tel: 510-236-3139  Fax: 510-236-3200

Registration Information:
NPI: 1124221643
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101Y00000XBehavioral Health & Social Service Providers
Counselor

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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