Julie Derose
NPI #1427225150 in Venice, California
Provider Information
- NPI Number
- 1427225150
- Entity Type
- Individual
- Name
- Julie Derose
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- May 12, 2008
- Last Updated
- May 12, 2008
Practice Location
- Address
- 204 HAMPTON DR
- City
- Venice
- State
- California
- ZIP Code
- 90291-2623
- Phone
- (310) 396-6468
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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