Individual
MRS. DOLLY H CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
80 EAST STREET, PITTSBORO, NC 27312
(919) 545-8367
(919) 542-8227
Mailing address
2501 CHADWICK CIR, SANFORD, NC 27330-8686
(919) 718-0064
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C004674
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6106141
—
NC
01
—
C004674
STATE LICENSE NUMBER
NC
Enumeration date
10/13/2006
Last updated
07/09/2007
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