Individual
MARY B KOCH RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6315 FORBES AVE STE L110C, PITTSBURGH, PA 15217-1745
(412) 256-8753
Mailing address
1630 LIME HOLLOW RD, PITTSBURGH, PA 15235-1859
(412) 897-1827
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC001770
PA
Other
Enumeration date
03/06/2007
Last updated
07/03/2024
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