Individual
LARISSA JAYNE KAZMIERCZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
449 SHADY AVE, BRIDGEVILLE, PA 15017-1961
(724) 288-4437
Mailing address
2002 STERLING DR, MC DONALD, PA 15057-3512
(724) 288-4437
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
PA
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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