Individual
MS. DONNA MARIE DEFAZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
453 CALIFORNIA TER, PASADENA, CA 91105-2450
(626) 795-7958
(626) 795-7710
Mailing address
453 CALIFORNIA TER, PASADENA, CA 91105-2450
(626) 795-7958
(626) 795-7710
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
03/19/2007
Last updated
08/23/2007
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