Individual
MISS LORI DEVIRGILIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW, LCADC
Contact information
Practice address
141 FRIENDSHIP RD, HOWELL, NJ 07731-1911
(732) 796-3549
Mailing address
141 FRIENDSHIP RD, HOWELL, NJ 07731-1911
(732) 796-3549
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00225000
NJ
104100000X
Social Worker
44SL05807400
NJ
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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