SearchNew York104100000X

Mikayla Defore, LMSW

NPI 1760140081 · on the registry since 2021

Practice

Address
580 Saint Nicholas Ave Apt 6g
New York, NY 10030
Phone
(706) 483-6586
Clinicians at this address
2

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-12-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York