Individual
KAREN R. DISTEFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
328 MAIN ST, SOUTHBRIDGE, MA 01550-3794
(808) 765-9101
(508) 764-4389
Mailing address
9 WOODSIDE CIR, STURBRIDGE, MA 01566-1347
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/19/2018
Last updated
08/19/2018
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