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Amy Lynn Destefanis, LCSW, CCM

Social Worker, Clinical in Arlington, MA. Individual provider (NPI-1).

NPI number1982304408
StatusActive
Last updated in NPPESMar 3, 2023

Details

NPI
1982304408
Entity type
Individual (NPI-1)
Name
Amy Lynn Destefanis
Credential
LCSW, CCM
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 3, 2023
Certification date
Mar 3, 2023
Last updated
Mar 3, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical223150MAYes
1041C0700X Social Worker, Clinical––

Practice location

111 Palmer St
Arlington, MA 02474-3309

Phone 978-846-3419

Mailing address

111 Palmer St
Arlington, MA 02474-3309

Phone 978-846-3419

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