LORELLE M DESTEFANO

FORT BENNING, GA
NPI1194185165
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: FL  SW16232)
Additional Taxonomies101YP2500X Counselor, Professional
(Licence: VA  0904009238)
1041C0700X Social Worker, Clinical
(Licence: VA  0904009238)
Enumeration Date2016-03-03
Last Update Date2025-03-05
Business Address
LORELLE M DESTEFANO LCSW
6600 VAN AALST BLVD
FORT BENNING, GA 31905-2102
Phone number: 850-855-4523
Mailing Address
LORELLE M DESTEFANO LCSW
6600 VAN AALST BLVD
FORT BENNING, GA 31905-2102
Phone number: 850-855-4523