RAEGAN DISTASIO

SYRACUSE, NY
NPI1851143473
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2024-04-05
Last Update Date2024-04-05
Business Address
RAEGAN DISTASIO
1045 JAMES ST STE 100
SYRACUSE, NY 13203-2758
Phone number: 315-472-4471
Mailing Address
RAEGAN DISTASIO
501 THAYER RD
FAIRPORT, NY 14450-9514
Phone number: 585-472-1568
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