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Individual

DERRICK BORTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5231 PENN AVE, PITTSBURGH, PA 15224-1768
(412) 204-9014
Mailing address
5231 PENN AVE, PITTSBURGH, PA 15224-1768

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
11/04/2024
Last updated
11/04/2024
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