Kelli Destasio
NPI #1225754021 in Mariposa, California
Provider Information
- NPI Number
- 1225754021
- Entity Type
- Individual
- Name
- Kelli Destasio
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker
- Enumeration Date
- Oct 13, 2022
- Last Updated
- Oct 13, 2022
Practice Location
- Address
- 5362 LEMEE LN
- City
- Mariposa
- State
- California
- ZIP Code
- 95338-9556
- Phone
- (209) 966-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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