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1588191027
BRIAN DISTEFANO
POUGHKEEPSIE, NY
NPI
1588191027
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2017-05-15
Last Update Date
2017-05-15
Business Address
BRIAN DISTEFANO MSW
46 LINCOLN AVE
POUGHKEEPSIE, NY 12601-4518
Phone number: 845-471-6004
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Mailing Address
BRIAN DISTEFANO MSW
5 WALNUT DR
WAPPINGERS FALLS, NY 12590-2502
Phone number: 845-663-0131
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