Individual
MRS. TRUDY K. VENTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
91 HOSPITAL DR, TOWANDA, PA 18848-9702
(570) 268-2233
(570) 268-2379
Mailing address
91 HOSPITAL DR, TOWANDA, PA 18848-9702
(570) 268-2233
(570) 268-2379
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW007494L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019298260002
—
PA
Enumeration date
02/06/2007
Last updated
08/12/2015
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