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Individual
ALYCIA CLAYTON
Active
Individual
ALYCIA CLAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904010190
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0904010190
VA BOARD OF SOCIAL WORKLICENSE NUMBER
VA
Enumeration date
12/04/2017
Last updated
07/16/2018
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