Individual
SHANTELE BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
710 AVENUE C, STROUDSBURG, PA 18360-1957
(570) 620-6499
Mailing address
710 AVENUE C, STROUDSBURG, PA 18360-1957
(570) 620-6499
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/11/2017
Last updated
07/21/2022
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