Provider Information for 1710346499
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DEMENNA MILORD LMHC
Sex: Female
NPI: 1710346499
Last Updated: 2019-10-31
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1710346499 | ||||||||||||||
| Enumeration Date | 2016-02-23 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | NO | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 4905 SABLE PINE CIR APT A1 WEST PALM BEACH, FL 33417-3124 United States Phone: 561-203-6570 | Fax: | ||||||||||||||
| Primary Practice Address | 4905 SABLE PINE CIR APT A1 WEST PALM BEACH, FL 33417-3124 United States Phone: 561-203-6570 | Fax: | ||||||||||||||
| Secondary Practice Address(es) | 8855 RAMBLEWOOD DR APT 1812 | ||||||||||||||
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