Organization
CLAYTON D. SANKEY LICSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLAYTON D SANKEY MSW (CLINICAL SOCIAL WORKER)
(651) 770-0355
Entity
Organization
Contact information
Practice address
2127 COUNTY ROAD D E STE A100, MAPLEWOOD, MN 55109-5350
(651) 770-0355
(651) 770-0529
Mailing address
6484 KINGS DR, OAKDALE, MN 55128-2523
(651) 770-0355
(651) 429-2988
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00097
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00097
LICSW LICENSE #
MN
05
—
454048400
—
MN
Enumeration date
01/16/2006
Last updated
04/20/2018
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