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NPI Code Detail

MEDICARE: SARAH P WANDER

MEDICARE: SARAH P WANDER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1225347677
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH P WANDER
Provider Business Mailing Address
First Line : 5150 PENN AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15224-1626
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5150 PENN AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15224-1626
Country : US
Telephone Number : 412-441-9786
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2010
Last Update Date : 10/04/2010

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