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1609598671
JOSANDRA DEFAZIO
BRIDGEPORT, WV
NPI
1609598671
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WV DP00946344)
Enumeration Date
2022-09-15
Last Update Date
2025-12-09
Business Address
JOSANDRA DEFAZIO LGSW
65 PROFESSIONAL PL STE 102
BRIDGEPORT, WV 26330-0259
Phone number: 304-848-5770
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Mailing Address
JOSANDRA DEFAZIO LGSW
65 PROFESSIONAL PL STE 102
BRIDGEPORT, WV 26330-0259
Phone number: 304-848-5770
Copy
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