Most Relevant Information
Provider Data
NPI Number: | 1003287319 |
Provider Name: | VINTE CLEMONS |
Entity Type: | Individual |
Taxonomy Code: | 1041C0700X |
Specialty: | Social Worker |
License Number: |
Most Important Dates
Enumeration Date: | 10/13/2015 |
Last Updated: | 10/13/2015 |
Provider Practice Location
600 N OLIVE ST
MEDIA
PA
190632418
Practice Location Phone/Fax
Phone: | 6105667540 |
Fax: |
Provider Mailing Location
600 N OLIVE ST
MEDIA
PA
190632418
Provider Mailing Phone/Fax
Phone: | 6105667540 |
Fax: |