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Individual

DAVID FOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4100 ALLEQUIPPA STREET, PITTSBURGH, PA 15219
(412) 360-6224
Mailing address
5546 JACKSON ST APT 9, PITTSBURGH, PA 15206-1493
(412) 360-6224

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
123456
VA
Enumeration date
09/13/2018
Last updated
09/13/2018
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