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1154993004
LISA JOSEPHINE DESTEFANO
BENNETTSVILLE, SC
NPI
1154993004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-07-12
Last Update Date
2021-07-12
Business Address
LISA JOSEPHINE DESTEFANO MA
1035 CHERAW ST
BENNETTSVILLE, SC 29512-2422
Phone number: 843-454-0841
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Mailing Address
LISA JOSEPHINE DESTEFANO MA
PO BOX 918
BENNETTSVILLE, SC 29512-0918
Phone number: 843-454-0841
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