Nicole Rose Distefano
NPI #1194556985 in Marblehead, Massachusetts
Provider Information
- NPI Number
- 1194556985
- Entity Type
- Individual
- Name
- Nicole Rose Distefano
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Aug 12, 2024
- Last Updated
- Jul 24, 2025
Practice Location
- Address
- 15 HINES CT UNIT 19
- City
- Marblehead
- State
- Massachusetts
- ZIP Code
- 01945-2582
- Phone
- (781) 307-7845
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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