Individual
SHELBY DISTENFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
142 BERKELEY ST STE 3, BOSTON, MA 02116-5143
(617) 586-4310
Mailing address
142 BERKELEY ST STE 3, BOSTON, MA 02116-5143
(617) 586-4310
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
MA
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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