Individual
FAY J WANETICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
155 N CRAIG ST, PITTSBURGH, PA 15213-1571
(412) 401-1049
(412) 968-9766
Mailing address
PO BOX 111234, PITTSBURGH, PA 15238-0634
(412) 401-1049
(412) 968-9766
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW 8854L
PA
Other
Enumeration date
04/18/2008
Last updated
04/18/2008
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