Lou Ann Distefano
NPI #1083997795 in Springfield, Massachusetts
Provider Information
- NPI Number
- 1083997795
- Entity Type
- Individual
- Name
- Lou Ann Distefano
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Sep 20, 2011
- Last Updated
- Sep 20, 2011
Practice Location
- Address
- 130 MAPLE ST
- Address 2
- SUITE 325
- City
- Springfield
- State
- Massachusetts
- ZIP Code
- 01103-2202
- Phone
- (413) 737-9544
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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