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Individual

BRANDON MACKENZIE PENROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
B.S

Contact information

Practice address
333 N BRADDOCK AVE, PITTSBURGH, PA 15208-2512
(412) 864-5065
Mailing address
385 COLLINS DR, PITTSBURGH, PA 15235-3839
(814) 659-9692

Taxonomy

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

Other

Enumeration date
01/05/2023
Last updated
01/05/2023
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