Basic Information
| Provider Information | |||||||||
| NPI: | 1285761171 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MUSOKE | ||||||||
| FirstName: | ANNETTE | ||||||||
| MiddleName: | NDAGIRE | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | MSW, LSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | TURTLE CREEK VALLEY MH MR, WRAPAROUND SERVICES | ||||||||
| Address2: | STEEL VALLEY COG. BLDG., 1705 MAPLE ST. | ||||||||
| City: | HOMESTEAD | ||||||||
| State: | PA | ||||||||
| PostalCode: | 15120 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4124644781 | ||||||||
| FaxNumber: | 4124641531 | ||||||||
| Practice Location | |||||||||
| Address1: | TURTLE CREEK VALLEY MH MR, OUTPATIENT AND WRAPAROUN | ||||||||
| Address2: | STEEL VALLEY COG. BLDG., 1705 MAPLE ST. | ||||||||
| City: | HOMESTEAD | ||||||||
| State: | PA | ||||||||
| PostalCode: | 15120 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4124644781 | ||||||||
| FaxNumber: | 4124641531 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/27/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | SW124614 | PA | Y | Behavioral Health & Social Service Providers | Social Worker |
No ID Information.