Individual
DAIDRA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
81 S 19TH ST, PITTSBURGH, PA 15203-1852
(412) 954-7673
Mailing address
127 E 21ST AVE, MUNHALL, PA 15120-2521
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC012952
PA
Other
Enumeration date
04/02/2021
Last updated
03/06/2023
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