Individual
STEPHANIE VITUCCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSS, LSW
Contact information
Practice address
1500 WALNUT ST STE 300, PHILADELPHIA, PA 19102-3502
(215) 563-7863
(215) 563-5815
Mailing address
4840 SMICK ST, PHILADELPHIA, PA 19127-1911
(412) 527-9907
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW136123
PA
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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