Individual
LAURA CLAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
138 WATEREE DR, SANTEE, SC 29142-9309
(843) 560-4339
Mailing address
138 WATEREE DR, SANTEE, SC 29142-9309
(843) 560-4339
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7951
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011519567
DRIVER'S LICENSE
SC
Enumeration date
10/03/2022
Last updated
10/03/2022
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