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Individual

PATRICIA DEWALT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
310 S HOME AVE, PITTSBURGH, PA 15202-2806
(412) 734-2904
Mailing address
310 S HOME AVE, PITTSBURGH, PA 15202-2806
(412) 734-2904

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
RN293408L
PA

Other

Enumeration date
02/09/2015
Last updated
02/09/2015
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