SearchConnecticut104100000X

Mia Destefano, LMSW

NPI 1295673341 · on the registry since 2026 · sole proprietor

Practice

Address
169 Albany Tpke Ste 4b
Canton, CT 06019
Phone
(860) 626-5110

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-03-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut