Individual
NICOLE DISTEFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
159 HARDING AVE, CLIFTON, NJ 07011-2624
(201) 898-1490
Mailing address
159 HARDING AVE, CLIFTON, NJ 07011-2624
(201) 898-1490
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NJ
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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