Individual
CARLY MARIE SECRIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 BINGHAM ST, PITTSBURGH, PA 15203-1101
(412) 235-5326
Mailing address
1011 BINGHAM ST, PITTSBURGH, PA 15203-1101
(412) 235-5326
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/02/2009
Last updated
11/02/2009
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