MARISA DISTEFANO

RIDGEWOOD, NJ
NPI1720546260
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NJ  37PC00661500)
Enumeration Date2019-03-04
Last Update Date2019-03-04
Business Address
MARISA DISTEFANO LPC
172 FRANKLIN AVE STE 4B
RIDGEWOOD, NJ 07450-3229
Phone number: 201-446-4669
Mailing Address
MARISA DISTEFANO LPC
19 CUTLASS RD
KINNELON, NJ 07405-2911
Phone number: 201-446-4669
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