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Individual
THELMA CLAYMORE
Active
Individual
THELMA CLAYMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCDC-II
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
02041196
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003226
BCBS GROUP #
SD
01
—
02041196
STATE CERT.#
SD
Enumeration date
01/02/2007
Last updated
07/08/2007
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