Individual
BRANDI CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
128 S MARKET ST APT 4, FREDERICK, MD 21701-6972
(443) 902-1725
Mailing address
16110 MYRIAD LN APT 204, FORT MYERS, FL 33908-3172
(443) 902-1725
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22197
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
11/07/2019
Last updated
11/06/2024
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