Individual
DANIEL THEODORE BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
62226 COUNTY ROAD 15, GOSHEN, IN 46526-9438
(574) 875-5117
Mailing address
62226 COUNTY ROAD 15, GOSHEN, IN 46526-9438
(574) 875-5117
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33010268A
IN
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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