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NPI Code Detail

MEDICARE: NANETTE J MISSIG LCSW

MEDICARE:   NANETTE J MISSIG  LCSW
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 WorkerCW002643LPA

General Provider Information

NPI Number : 1730153156
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANETTE J MISSIG LCSW
Provider Business Mailing Address
First Line : 180 FORT COUCH RD
Second Line : STE 304
City : PITTSBURGH
State : PA
Zip : 15241-1041
Country : US
Telephone Number : 412-831-0355
Fax Number : 412-854-5152
Provider Business Practice Location Address
First Line : 180 FORT COUCH RD
Second Line : STE 304
City : PITTSBURGH
State : PA
Zip : 15241-1041
Country : US
Telephone Number : 412-831-0355
Fax Number : 412-854-5152
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2006
Last Update Date : 07/08/2007

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Directions to “ NANETTE J MISSIG LCSW” Practice Location

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