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PAUL DAVID PANGBURN LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1508297482

Individual Registrant:
 PAUL DAVID PANGBURN LCSW
Gender: M
Sole Proprietor

Location and contact information for practice:
712 RICKS CIR  BROOKHAVEN, PA 19015-1426 US
Tel: 610-876-3806  Fax: --

Contact information for business:
712 RICKS CIR  BROOKHAVEN, PA 19015-1426 US
Tel: 610-876-3806  Fax: --

Registration Information:
NPI: 1508297482
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
PACW017918

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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