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Individual

MRS. JENNIFER ANN MACIOCE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
712 SOUTH AVE, ALLEGHENY EAST MH/MR CENTER, INC, PITTSBURGH, PA 15221-2940
(412) 473-8059
(412) 731-5025
Mailing address
12820 DEBORAH DR, NORTH HUNTINGDON, PA 15642-2860
(724) 515-5388

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW012598
PA

Other

Enumeration date
06/16/2006
Last updated
07/08/2007
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