Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | SW123538 | PA |
NPI | 1003141375 |
---|---|
Provider Name | Jamie Lee Maiola |
First Address | Pittsburgh, PA 15203-1101 |
Second Address | Pittsburgh, PA 15203-1101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2009 |
Last Update Date | 29/03/2021 |