Individual
BRIAN PORCELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
340 MONTAGE MOUNTAIN RD, MOOSIC, PA 18507-1707
(570) 346-3686
Mailing address
1108 S 46TH ST APT 301, PHILADELPHIA, PA 19143-3732
(609) 610-3278
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW141629
PA
Other
Enumeration date
12/31/2024
Last updated
12/31/2024
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