MISS Justine Margaret Distefano, M.ED.
NPI #1538536388 in Saint Charles, Illinois
Provider Information
- NPI Number
- 1538536388
- Entity Type
- Individual
- Name
- MISS Justine Margaret Distefano, M.ED.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.ED.
- Enumeration Date
- Aug 27, 2015
- Last Updated
- Aug 27, 2015
Practice Location
- Address
- 124 LAKESIDE DR
- Address 2
- APT #526
- City
- Saint Charles
- State
- Illinois
- ZIP Code
- 60174-7910
- Phone
- (716) 400-8109
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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