Individual
JOSEPHINE M DIFAZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1477 S SCHODACK RD, CASTLETON, NY 12033-9644
(518) 477-6072
Mailing address
87 S LAKE AVE, ALBANY, NY 12203-1108
(845) 625-9087
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
108906
NY
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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