Individual
TIA BURROUGHS CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
758 2ND STREET PIKE, SOUTHAMPTON, PA 18966-3972
(267) 766-0620
Mailing address
422 N MOUNT VERNON CIR, BENSALEM, PA 19020-8207
(267) 971-4837
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW137788
PA
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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