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Individual

JAMES A MANZELLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
2250 MARY ST, SUITE 307, PITTSBURGH, PA 15203-2280
(412) 488-8102
(412) 488-0166
Mailing address
2250 MARY ST, SUITE 309, PITTSBURGH, PA 15203-2280
(412) 488-8102
(412) 488-0166

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW014687
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
348865
HIGHMARK PIN
PA
Enumeration date
10/19/2006
Last updated
12/10/2009
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