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Organization
MENTAL FITNESS, LLC
Active
Organization
MENTAL FITNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN THOMAS WIZE LCSW (PRESIDENT)
(412) 334-9790
Entity
Organization
Contact information
Practice address
2009 MACKENZIE WAY STE 100, CRANBERRY TOWNSHIP, PA 16066-5338
(412) 334-9790
Mailing address
276 OAKVILLE RD, BEAVER FALLS, PA 15010-1210
(412) 334-9790
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW017900
PA
Other
Enumeration date
11/13/2017
Last updated
11/13/2017
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