Individual
JOSEPH DIVACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
19 MAY AVE, MC KEES ROCKS, PA 15136-3676
(412) 331-7712
(412) 331-0982
Mailing address
19 MAY AVE, MC KEES ROCKS, PA 15136-3676
(412) 331-7712
(412) 331-0982
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW002485E
PA
Other
Enumeration date
02/04/2009
Last updated
02/04/2009
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