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Individual

MARY GRADNIK-BALLEW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5231 PENN AVE, ROOM 233, PITTSBURGH, PA 15224-1768
(412) 204-9047
(412) 204-9134
Mailing address
5231 PENN AVE, ROOM 233, PITTSBURGH, PA 15224-1768
(412) 204-9047
(412) 204-9134

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
04/26/2012
Last updated
04/26/2012
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