Individual
SHELLEY RENEE CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
400 W GLENN MILLER DR, CLARINDA, IA 51632-2963
(712) 542-8354
Mailing address
220 ESSIE DAVISON DR, CLARINDA, IA 51632-2915
(712) 542-2176
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
100191
IA
1041C0700X
Clinical Social Worker
2022034073
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507544203
—
MO
Enumeration date
06/23/2020
Last updated
12/20/2022
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