Individual
MIKEA WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
711 PENN AVE, FLOOR 2, WILKINSBURG, PA 15221-2216
(412) 241-4673
(412) 241-4675
Mailing address
711 PENN AVE, FLOOR 2, WILKINSBURG, PA 15221-2216
(412) 241-4673
(412) 241-4675
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW133132
PA
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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