Individual
DETRIA MICHELLE DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
7227 HAMILTON AVE, PITTSBURGH, PA 15208-1814
(412) 244-4700
(412) 244-4982
Mailing address
507 HAVERHILL ST, PITTSBURGH, PA 15221-1411
(412) 606-6716
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW133831
PA
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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