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Organization
LUISA A BONAVITA
Active
Organization
LUISA A BONAVITA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDI SCINICO (CREDENTIALING SPECIALIST)
(412) 445-4652
Entity
Organization
Contact information
Practice address
1370 OLD FREEPORT RD STE 2B, PITTSBURGH, PA 15238-4104
(412) 417-9163
Mailing address
1370 OLD FREEPORT RD STE 2B, PITTSBURGH, PA 15238-4104
(412) 417-9163
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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