Individual
REGINA MARIE SHOUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, CMHW
Contact information
Practice address
5231 PENN AVE, PITTSBURGH, PA 15224-1768
(412) 204-9001
Mailing address
243 SHERMAN AVE, VANDERGRIFT, PA 15690-1126
(724) 309-6469
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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