JACOB THADDEUS CLAYTON

FORT WAYNE, IN
NPI1851383871
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IN  34005012A)
Enumeration Date2005-08-16
Last Update Date2007-07-08
Business Address
-- JACOB THADDEUS CLAYTON LCSW
106 THREE RIVERS N
FORT WAYNE, IN 46802-1312
Phone number: 260-426-5778
Mailing Address
-- JACOB THADDEUS CLAYTON LCSW
106 THREE RIVERS N
FORT WAYNE, IN 46802-1312
Phone number: 260-426-5778
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