Individual
JUSTIN CLAYCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 PLEASANT ST, DES MOINES, IA 50309-1406
(515) 241-5926
(515) 241-5127
Mailing address
1200 PLEASANT ST, DES MOINES, IA 50309-1406
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
007301
IA
Other
Enumeration date
07/27/2009
Last updated
10/17/2012
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