Individual
TIFFANI NICOLE NAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
450 S 5TH ST, READING, PA 19602-2642
(610) 372-5645
Mailing address
518 DORCHESTER AVE, READING, PA 19609-2323
(610) 823-7741
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW138467
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW138467
SOCIAL WORK
PA
Enumeration date
08/11/2021
Last updated
08/11/2021
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