Individual
BEATRICE CLAYBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6049 BROADWAY, MERRILLVILLE, IN 46410-2619
(219) 427-0193
Mailing address
6049 BROADWAY, MERRILLVILLE, IN 46410-2619
(219) 427-0193
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
1150970
IN
Other
Enumeration date
10/05/2015
Last updated
10/05/2015
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