CLAYTON BLACK

BEND, OR
NPI1033624317
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-12-07
Last Update Date2017-12-07
Business Address
CLAYTON BLACK
20370 POE SHOLES DR
BEND, OR 97703-7938
Phone number: 541-318-1377
Mailing Address
CLAYTON BLACK
20370 POE SHOLES DR
BEND, OR 97703-7938
Phone number: 541-318-1377
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