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1467592550
THERESA G. DESTITO
PASADENA, CA
NPI
1467592550
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 13286)
Enumeration Date
2007-02-07
Last Update Date
2007-07-08
Business Address
Ms. THERESA G. DESTITO LCSW
66 HURLBUT ST
PASADENA, CA 91105-4025
Phone number: 626-441-4221
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Mailing Address
Ms. THERESA G. DESTITO LCSW
445 W WALNUT ST
PASADENA, CA 91103-3563
Phone number: 626-441-4221
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