Individual
BETHANY ANN HAGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
6301 FORBES AVE, PITTSBURGH, PA 15217-1725
(412) 206-1411
Mailing address
6301 FORBES AVE STE 120, PITTSBURGH, PA 15217-1725
(412) 206-1411
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW138794
PA
Other
Enumeration date
05/15/2019
Last updated
02/22/2023
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