Individual
MRS. KELLY LYNN NIEDERMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
3811 OHARA ST, PITTSBURGH, PA 15213-2593
(412) 246-6380
Mailing address
3811 OHARA ST, PITTSBURGH, PA 15213-2593
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW122638
PA
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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