MEDICARE: SHERRY MARIE COSNER-MARENTAY LSW

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
1	104100000X	Social Worker	SW013757L	PA

General Provider Information

NPI Number	:	1770764581
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERRY MARIE COSNER-MARENTAY LSW

Provider Business Mailing Address
First Line	:	969 GREENTREE RD
Second Line	:	SUITE 108
City	:	PITTSBURGH
State	:	PA
Zip	:	15220-3303
Country	:	US
Telephone Number	:	412-921-3908
Fax Number	:

Provider Business Practice Location Address
First Line	:	969 GREENTREE RD
Second Line	:	SUITE 108
City	:	PITTSBURGH
State	:	PA
Zip	:	15220-3303
Country	:	US
Telephone Number	:	412-921-3908
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2007
Last Update Date	:	11/20/2007

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