Individual
MR. MICHAEL CLAYTON CAROTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
19 E FRONT ST, OIL CITY, PA 16301-2363
(814) 678-6900
Mailing address
19 E FRONT ST, OIL CITY, PA 16301-2363
(814) 678-6900
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW137372
PA
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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