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1922870138
JOSEPHINE DISTAFANO
LAKE WORTH, FL
NPI
1922870138
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-10-23
Last Update Date
2023-10-23
Business Address
JOSEPHINE DISTAFANO
4905 LANTANA RD
LAKE WORTH, FL 33463-6915
Phone number: 855-408-5780
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Mailing Address
JOSEPHINE DISTAFANO
18099 92ND LN N
LOXAHATCHEE, FL 33470-5140
Phone number: 856-310-0555
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