Individual
MRS. TARA VIRGILIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9 WINDING WAY, BERLIN, NJ 08009-2249
(609) 320-7975
Mailing address
9 WINDING WAY, BERLIN, NJ 08009-2249
(609) 320-7975
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SC05469300
NJ
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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