Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker |
NPI | 1003294430 |
---|---|
Provider Name | Carrie D. Bisogni |
First Address | Clairton, PA 15025-1107 |
Second Address | Braddock, PA 15104-1849 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2015 |
Last Update Date | 18/05/2015 |