Individual
LAURA A SUKONICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
175 KING OF PRUSSIA RD, RADNOR, PA 19087-4521
(610) 644-6464
(610) 981-6078
Mailing address
1440 RUSSELL RD, PAOLI, PA 19301-1236
(610) 644-6464
(610) 981-6078
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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