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1609852037
CLAYTON DAVID WILSON
TAMPA, FL
NPI
1609852037
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 069614-1)
Enumeration Date
2005-12-19
Last Update Date
2020-09-16
Business Address
Mr. CLAYTON DAVID WILSON LCSW
3250 ZEMKE AVE
TAMPA, FL 33621-5023
Phone number: 813-420-3988
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Mailing Address
Mr. CLAYTON DAVID WILSON LCSW
3250 ZEMKE AVE
TAMPA, FL 33621-5023
Phone number: 813-420-3988
Copy
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