Individual
SERENA FURNARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
150015417
IL
1041C0700X
Clinical Social Worker
Primary
089-0134140
VT
Other
Enumeration date
10/10/2016
Last updated
07/23/2018
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