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Individual

SETH JEROME CLAYBORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
181 CAMPUS DR, LAWRENCEBURG, IN 47025-1387
(812) 496-0388
Mailing address
751 LONE OAK DR, TAYLOR MILL, KY 41015-2215
(502) 471-6554

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46004155A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
46004155A
INDIANA PROFESSIONAL LICENSING AGENCY
IN
Enumeration date
08/15/2022
Last updated
08/15/2022
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