Swcc | |
910 Braddock Ave Braddock PA 15104-1717 | |
(412) 204-6934 | |
Not Available |
Full Name | Swcc |
---|---|
Speciality | Community/behavioral Health |
Location | 910 Braddock Ave, Braddock, Pennsylvania |
Authorized Official Name and Position | Jessica Lynn Gurley (OWNER / THERAPIST) |
Authorized Official Contact | 4122046934 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Swcc 1007 Premier St Pittsburgh PA 15201-2154 Ph: (412) 204-6934 | Swcc 910 Braddock Ave Braddock PA 15104-1717 Ph: (412) 204-6934 |
NPI Number | 1003365628 |
---|---|
Provider Enumeration Date | 09/23/2016 |
Last Update Date | 06/24/2020 |
Certification Date | 06/24/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003365628 | NPI | - | NPPES |
CW018857 | Other | PA | SOCIAL WORK STATE BOARDS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | CW018857 (Pennsylvania) | Primary |
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