Organization
INGRID FULTON-EDWARDS, LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INGRID FULTON-EDWARDS LCSW (OWNER/CLINICIAN)
(412) 398-3578
Entity
Organization
Contact information
Practice address
733 N HIGHLAND AVE, PITTSBURGH, PA 15206-2573
(412) 398-3578
(412) 373-3276
Mailing address
522 FIRETHORN DR, MONROEVILLE, PA 15146-1617
(412) 398-3578
(412) 373-3276
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW015317
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018523620001
—
PA
Enumeration date
01/05/2011
Last updated
01/05/2011
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