ELISABETH A. DISTERHOFT

DORCHESTER, MA
NPI1639432321
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  218059)
Enumeration Date2012-06-19
Last Update Date2012-06-19
Business Address
-- ELISABETH A. DISTERHOFT LCSW
1353 DORCHESTER AVE
DORCHESTER, MA 02122-2932
Phone number: 617-288-3230
Mailing Address
-- ELISABETH A. DISTERHOFT LCSW
1353 DORCHESTER AVE
DORCHESTER, MA 02122-2932
Phone number: 617-288-3230
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