Individual
CLAYTON SHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1483 TRAVERTINE TER, SANFORD, FL 32771-7730
(423) 747-7741
Mailing address
1483 TRAVERTINE TER, SANFORD, FL 32771-7730
(423) 747-7741
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0705
PIN
FL
Enumeration date
12/30/2021
Last updated
12/30/2021
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