Claycon, Llc

NPI 1124310008 - Counselor - 101YM0800X

NPI Details
NPI 1124310008
Enumeration Date 05/10/2011
Last Updated 05/10/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name ANGIE ANGIE
Position OFFICE MANAGER
Phone (662) 280-5758
Fax (662) 280-5708
Practice Location
5158 STAGE RD
SUITE 130
MEMPHIS TN, 38134-3116, US
Phone (662) 280-5758
Fax (662) 280-5708
Business Location
8829 CENTRE ST
SOUTHAVEN MS, 38671-2610, US
Phone (662) 280-5758
Fax (662) 280-5708
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
Remove 1124310008 NPI Number
 

According to our database, Claycon, Llc NPI is 1124310008, taxonomy code is 101YM0800X Claycon, Llc physically located at 5158 Stage Rd, Memphis TN, 38134-3116. NPI Number 1033115704 has the healthcare provider type.

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1124310008 NPI number is provided on an as is basis without warranty of any kind. 1124310008 is maintained by the National Plan & Provider Enumeration System. The contents of Claycon, Llc are for informational purposes only.