| Lisa L Deffenbaugh, MSW | |
|
301 W Berckman St, Fruitland Park, FL 34731-3265 | |
| (352) 702-2802 | |
| Not Available |
| Full Name | Lisa L Deffenbaugh |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 301 W Berckman St, Fruitland Park, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396528352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa L Deffenbaugh, MSW 301 W Berckman St, Fruitland Park, FL 34731-3265 Ph: (352) 702-2802 | Lisa L Deffenbaugh, MSW 301 W Berckman St, Fruitland Park, FL 34731-3265 Ph: (352) 702-2802 |
Tracy Caren Wright, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 34316 Black Bass Cir, Fruitland Park, FL 34731 Phone: 352-326-8096 | |
Tonia Michelle Bowman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1608 Spring Lake Rd, Fruitland Park, FL 34731 Phone: 352-805-3031 |