Individual
GRACE HORMELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5231 PENN AVE, PITTSBURGH, PA 15224-1768
(412) 204-9012
Mailing address
5231 PENN AVE, PITTSBURGH, PA 15224-1768
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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