Provider Demographics
NPI:1245547926
Name:DUFLOTH, DENISE
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:DUFLOTH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24362 VALLEY ST
Mailing Address - Street 2:
Mailing Address - City:NEWHALL
Mailing Address - State:CA
Mailing Address - Zip Code:91321-3529
Mailing Address - Country:US
Mailing Address - Phone:818-472-4272
Mailing Address - Fax:
Practice Address - Street 1:1551 KENDALL AVE
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-3607
Practice Address - Country:US
Practice Address - Phone:805-437-8017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-01
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker