Angel Lynn Deforrest

NPI #1962217067 in Whitehall, Ohio

Provider Information

NPI Number: 1962217067
Entity Type: Individual
Name: Angel Lynn Deforrest
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Feb 7, 2025
Last Updated: Feb 7, 2025

Practice Location

Address: 4000 E MAIN ST
City: Whitehall
State: Ohio
ZIP Code: 43213-3593
Phone: (614) 334-6903

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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