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1518223874
JUDY DESTEFANO
WELLESLEY, MA
NPI
1518223874
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MA 141AD)
Enumeration Date
2012-04-11
Last Update Date
2012-04-11
Business Address
Ms. JUDY DESTEFANO
15 HUNTING ST
WELLESLEY, MA 02481-3405
Phone number: 781-235-5556
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Mailing Address
Ms. JUDY DESTEFANO
15 HUNTING ROAD
WELLESLEY, MA 02481
Phone number: 781-235-5556
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