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Individual

MR. CLAYTON DAVID SANKEY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
2510 7TH AVE E, SUITE #101, NORTH SAINT PAUL, MN 55109-3033
(651) 770-0355
(651) 770-0529
Mailing address
6484 KINGS DR, OAKDALE, MN 55128-2523
(651) 770-0355
(651) 770-0529

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00097
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00097
SOCIAL WORK LICENSE NUMBE
MN
Enumeration date
05/30/2006
Last updated
12/22/2017
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