Individual
HEIDI MARIE FORTWANGLER-IRR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
949 BEAVER GRADE RD, MOON TOWNSHIP, PA 15108-2717
(412) 874-5807
(724) 457-2824
Mailing address
949 BEAVER GRADE RD, MOON TOWNSHIP, PA 15108-2717
(412) 874-5807
(724) 457-2824
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC009942
PA
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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