| NPI | 1700538311 |
|---|---|
| Former Legal Business Name | DEADRA CLEWELL COUNSELING |
| Entity Type | Organization |
| Authorized Contact | DEADRA CLEWELL Owner/Operator 610-737-1236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2022-01-25 |