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Individual

ANDRE MOLANDO WEST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LSW

Contact information

Practice address
444 DALTON AVE, ROCHESTER, PA 15074-2402
(724) 312-2558
Mailing address
444 DALTON AVE, ROCHESTER, PA 15074-2402
(724) 312-2558

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary

Other

Enumeration date
05/08/2018
Last updated
05/08/2018
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