Individual
MAUREEN BURKE CLAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
114 ASHLEY AVE, CHARLESTON, SC 29401-1249
(978) 995-1731
Mailing address
1741 BRITTLEBUSH LN, JOHNS ISLAND, SC 29455-6715
(978) 995-1731
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1022476
MA
1041C0700X
Clinical Social Worker
11965
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110101615A
—
MA
Enumeration date
11/27/2012
Last updated
04/05/2017
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