Individual
MR. CLAYTON EDWARD ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
315 W 6TH ST, MOUNTAIN HOME, AR 72653
(870) 425-8642
(870) 425-8652
Mailing address
813 CAPITOL DR, MOUNTAIN HOME, AR 72653-2001
(870) 425-5559
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3046C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160781526
—
AR
Enumeration date
03/16/2007
Last updated
07/20/2018
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