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1871594994
KATHLEEN DESTADLER
NEWBURYPORT, MA
NPI
1871594994
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 100642)
Enumeration Date
2005-08-10
Last Update Date
2007-07-08
Business Address
-- KATHLEEN DESTADLER LICSW
143 STATE ST
NEWBURYPORT, MA 01950-6621
Phone number: 978-462-2890
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Mailing Address
-- KATHLEEN DESTADLER LICSW
143 STATE ST
NEWBURYPORT, MA 01950-6621
Phone number: 978-462-2890
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