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Individual

MR. JOHN THOMAS CLINTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LISW-CP

Contact information

Practice address
3555 HARDEN STREET EXT STE 141, COLUMBIA, SC 29203
(803) 434-4300
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
6755
1041C0700X
Clinical Social Worker
Primary
6755
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SW1618
SC
Enumeration date
12/04/2006
Last updated
06/02/2021
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