Most Relevant Information
Provider Data
| NPI Number: | 1003469081 |
| Provider Name: | JUSTIN IFEDIGBO |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/19/2019 |
| Last Updated: | 07/19/2019 |
Provider Practice Location
66 GRACE ST
PITTSBURGH
PA
152052909
Practice Location Phone/Fax
| Phone: | 4128411738 |
| Fax: |
Provider Mailing Location
66 GRACE ST
PITTSBURGH
PA
152052909
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |