Individual
MR. JOHN ANTHONY DESTEFANO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
1500 ROUTE 88, BRICK, NJ 08724-2320
(732) 785-1900
Mailing address
415 LAWRENCE DR, LANOKA HARBOR, NJ 08734-2515
(732) 814-3836
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06987700
NJ
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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