Individual
JONATHAN COLVSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5896 ELLSWORTH AVE, PITTSBURGH, PA 15232-1738
(412) 444-8340
Mailing address
225 TRENT RD, WYNNEWOOD, PA 19096-3217
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW138196
PA
Other
Enumeration date
07/28/2021
Last updated
07/10/2024
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