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1093091167
CLAYTON CONNELLY
FORT SMITH, AR
NPI
1093091167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AR P1607064)
Enumeration Date
2011-11-02
Last Update Date
2016-08-02
Business Address
-- CLAYTON CONNELLY LPC
3111 S 70TH ST
FORT SMITH, AR 72903-5017
Phone number: 479-452-6650
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Mailing Address
-- CLAYTON CONNELLY LPC
PO BOX 11818
FORT SMITH, AR 72917-1818
Phone number: 479-452-6650
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