Individual
MARY VIGILANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 CORNERSTONE DR, LANGHORNE, PA 19047-1314
(215) 757-6916
Mailing address
562 PAXSON LN, LANGHORNE, PA 19047-8249
(215) 378-7065
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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