Kaneisha Virgo, LSW

NPI #1144764911 in Swarthmore, Pennsylvania

Provider Information

NPI Number: 1144764911
Entity Type: Individual
Name: Kaneisha Virgo, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: Dec 13, 2016
Last Updated: Dec 13, 2016

Practice Location

Address: 700 S CHESTER RD
City: Swarthmore
State: Pennsylvania
ZIP Code: 19081-2224
Phone: (484) 479-3475

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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