Individual
MS. JUDY DESTEFANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 HUNTING ST, WELLESLEY, MA 02481-3405
(781) 235-5556
Mailing address
15 HUNTING ROAD, WELLESLEY, MA 02481
(781) 235-5556
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
141AD
MA
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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