Individual
MR. GEORGE ROBERT BAGOVICH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1112 S BRADDOCK AVE, SUITE 203, PITTSBURGH, PA 15218-1262
(412) 848-1117
Mailing address
117 VIP DR, STE 310, WEXFORD, PA 15090-6936
(412) 920-1604
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW014829
PA
Other
Enumeration date
04/11/2006
Last updated
01/29/2018
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