Individual
KRISTI NICOLE HEIDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
4233 LYDIA ST, PITTSBURGH, PA 15207-1182
(814) 599-8702
Mailing address
4233 LYDIA ST, PITTSBURGH, PA 15207-1182
(814) 599-8702
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW129672
PA
Other
Enumeration date
07/13/2012
Last updated
07/13/2012
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