Individual
JACQUELINE SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, MSW, LSW
Contact information
Practice address
401 SHADY AVE STE B207, PITTSBURGH, PA 15206-4489
(412) 823-5155
Mailing address
630 MARYLAND AVE APT 3B, PITTSBURGH, PA 15232-1737
(910) 528-5443
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW142848
PA
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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