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Contact Information

VICKI GANNON
NEW KENSINGTON FHC
1072 5TH AVE
NEW KENSINGTON, PA15068
 Phone: 724-334-3640
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for VICKI GANNON · (Female)

NPI Number 1356008841
Status Active
Credentials
Entity Individual
Enumeration date 11/19/2021
Last updated 11/19/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • PA License # CW022183
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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