Individual
MS. BONITA PANNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, MBA
Contact information
Practice address
1425 FORBES AVE, PITTSBURGH, PA 15219-5140
(412) 580-0496
Mailing address
110 SILO CT, OAKDALE, PA 15071-9388
(412) 580-0496
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW007128L
PA
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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