Individual
LAURA NICHOLS-VIRGILIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1517 DURHAM RD, PENNDEL, PA 19047-5707
(215) 752-1541
Mailing address
17 IROQUOIS RD, LEVITTOWN, PA 19057-2307
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05325200
NJ
Other
Enumeration date
02/22/2007
Last updated
03/25/2013
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