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Individual
MR. JOHN THOMAS CLINTON
Active
Individual
MR. JOHN THOMAS CLINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW-CP
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6755
NULL
1041C0700X
Clinical Social Worker
Primary
6755
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SW1618
—
SC
Enumeration date
12/04/2006
Last updated
06/02/2021
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