Individual
COLLEEN PEDDYCORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3708 5TH AVE STE 401, PITTSBURGH, PA 15213-3427
(412) 864-2152
Mailing address
969 WOODBINE ST, PITTSBURGH, PA 15201-1601
(360) 441-5040
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW021556
PA
Other
Enumeration date
06/11/2019
Last updated
04/21/2021
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