Individual
MR. JOHNNIE ROOSEVELT MAURICE GEATHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
10 DUFF RD STE 201, PITTSBURGH, PA 15235-3209
(412) 871-5391
Mailing address
1120 FOX HILL DR APT T16, MONROEVILLE, PA 15146-1670
(484) 478-4971
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW138395
PA
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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