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Individual

ERIC GAITHER CLAYBURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
201 SIMONE WAY, ST AUGUSTINE, FL 32086-7750
(386) 846-5412
(904) 669-1847
Mailing address
201 SIMONE WAY, ST AUGUSTINE, FL 32086-7750
(386) 846-5412
(904) 669-1847

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW22547
FL

Other

Enumeration date
02/03/2023
Last updated
07/12/2024
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