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1942291323
ANDRE B CLAYBORNE
SIOUX FALLS, SD
NPI
1942291323
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: SD LPCMH2059)
Enumeration Date
2005-11-03
Last Update Date
2011-08-16
Business Address
-- ANDRE B CLAYBORNE EdD
5101 S NEVADA AVE SUITE 120
SIOUX FALLS, SD 57108-2213
Phone number: 605-361-9550
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Mailing Address
-- ANDRE B CLAYBORNE EdD
5101 S NEVADA AVE SUITE 120
SIOUX FALLS, SD 57108-2213
Phone number: 605-361-9550
Copy
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