Individual
KAITLIN M MICHENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 ALLEQUIPPA STREET, PITTSBURGH, PA 15240
(412) 360-6000
Mailing address
4100 ALLEQUIPPA STREET, PITTSBURGH, PA 15240-1802
(412) 360-6000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW21354
PA
Other
Enumeration date
03/07/2022
Last updated
03/21/2022
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