Individual
MS. SUSAN PATRICIA CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 N 9TH ST, SUITE B, MODESTO, CA 95350-5814
(209) 341-1824
(209) 523-1296
Mailing address
500 N 9TH ST, SUITE B, MODESTO, CA 95350-5814
(209) 341-1824
(209) 523-1296
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
35321
CA
Other
Enumeration date
09/21/2012
Last updated
06/15/2015
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