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1720546260
MARISA DISTEFANO
RIDGEWOOD, NJ
NPI
1720546260
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NJ 37PC00661500)
Enumeration Date
2019-03-04
Last Update Date
2019-03-04
Business Address
MARISA DISTEFANO LPC
172 FRANKLIN AVE STE 4B
RIDGEWOOD, NJ 07450-3229
Phone number: 201-446-4669
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Mailing Address
MARISA DISTEFANO LPC
19 CUTLASS RD
KINNELON, NJ 07405-2911
Phone number: 201-446-4669
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