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Individual

KEVIN MCCULLOUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
332 FIFTH AVE, SUITE 214, MCKEESPORT, PA 15132-2633
(412) 675-8533
(412) 675-8920
Mailing address
332 FIFTH AVE, SUITE 214, MCKEESPORT, PA 15132-2633
(412) 675-8533
(412) 675-8920

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
04/22/2008
Last updated
04/22/2008
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