Individual
MR. CLAY NELSON WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1371 BEACON ST, SUITE 304, BROOKLINE, MA 02446-4905
(617) 983-9811
(617) 267-3667
Mailing address
111 PERKINS ST, #288, JAMAICA PLAIN, MA 02130-4313
(617) 983-9811
(617) 267-3667
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1020269
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1854160
—
MA
Enumeration date
09/27/2006
Last updated
03/16/2010
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