Individual
CLAYTON CAMPBELL GRUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
4005 OLEANDER DR, WILMINGTON, NC 28403-6816
(910) 790-9949
Mailing address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 508-2634
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C015259
NC
1041C0700X
Clinical Social Worker
P014903
NC
Other
Enumeration date
07/13/2020
Last updated
09/08/2022
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