Individual
ANTHONY RICARDO BURACCHIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
2121 7TH ST, PARKERSBURG, WV 26101-3803
(304) 485-1721
(304) 485-9203
Mailing address
2121 7TH ST, PARKERSBURG, WV 26101-3803
(304) 485-1721
(304) 485-9203
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
AP00943569
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP00943569
LSW
WV
Enumeration date
05/11/2012
Last updated
05/11/2012
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