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1528413192
LAINE M DISTEFANO
DALLAS, TX
NPI
1528413192
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: TX 202250)
Enumeration Date
2016-05-02
Last Update Date
2020-05-27
Business Address
LAINE M DISTEFANO MS, LMFT
5351 SAMUELL BLVD
DALLAS, TX 75228-6720
Phone number: 214-818-2600
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Mailing Address
LAINE M DISTEFANO MS, LMFT
8117 PRESTON RD FL 3
DALLAS, TX 75225-6332
Phone number: 310-926-2446
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