Organization
EAST WEST THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY DENISE CLAYTON LCSW (SOCIAL WORKER)
(732) 575-7341
Entity
Organization
Contact information
Practice address
1515 TAMIAMI TRL S STE 5, VENICE, FL 34285-5557
(732) 575-7341
Mailing address
1515 TAMIAMI TRL S STE 5, VENICE, FL 34285-5557
(732) 575-7341
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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