Individual
CATHERINE ANN DESTEFANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
199 E SHORE TRL, SPARTA, NJ 07871-2009
(973) 652-5031
Mailing address
199 E SHORE TRL, SPARTA, NJ 07871-2009
(973) 652-5031
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05536600
NJ
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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