Paul David Pangburn JR., LCSW

NPI #1508297482 in Brookhaven, Pennsylvania

Provider Information

NPI Number: 1508297482
Entity Type: Individual
Name: Paul David Pangburn JR., LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Dec 3, 2013
Last Updated: Dec 3, 2013

Practice Location

Address: 712 RICKS CIR
City: Brookhaven
State: Pennsylvania
ZIP Code: 19015-1426
Phone: (610) 876-3806

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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