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Individual

GEORGE E DALZELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
5150 PENN AVE, PITTSBURGH, PA 15224-1626
(412) 441-9786
(412) 363-2375
Mailing address
5150 PENN AVE, PITTSBURGH, PA 15224-1626
(412) 441-9786
(412) 363-2375

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CW015639
PA
1041C0700X
Clinical Social Worker
Primary
CW015639
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CW015639
STATE LICENSE
PA
Enumeration date
12/21/2007
Last updated
10/10/2022
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