Individual
VICTOR TRUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
524 W BROAD ST, QUAKERTOWN, PA 18951-1216
(215) 527-8012
Mailing address
1135 S DIVINITY ST, PHILADELPHIA, PA 19143-4301
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CW024314
PA
Other
Enumeration date
06/22/2022
Last updated
01/11/2024
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