Individual
CLOTIE WAYLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9525 KATY FWY STE 312, HOUSTON, TX 77024-1467
(713) 343-2622
Mailing address
12431 MARDI GRAS DR, HOUSTON, TX 77014-2484
(832) 423-2708
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16692
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124282805
—
TX
Enumeration date
10/24/2007
Last updated
08/07/2009
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