Individual
MS. BILLIE JO DISTASIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3601 S 6TH AVE, TUCSON, AZ 85723-0001
(520) 792-1450
Mailing address
10447 S CUTTING HORSE DR, VAIL, AZ 85641-6838
(520) 409-6331
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149024588
IL
Other
Enumeration date
01/14/2019
Last updated
01/18/2023
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