Clayborne, Andre B

Clayborne, Andre B is an sole proprietor health care provider with primary practice located at 5101 S Nevada Ave Suite 120, Sioux Falls SD 57108-2213. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Clayborne, Andre B can be contacted via phone (605) 361-9550.

Contact Information

Primary practice address
5101 S Nevada Ave Suite 120 Sioux Falls SD 57108-2213
Phone: (605) 361-9550
Fax: (605) 361-9582
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPCMH2059 South Dakota

Profile Details

NPI number 1942291323
LBN Legal business name Clayborne, Andre B
Credentials EDD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2005
Last updated Aug 16th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942291323 NPPES
South Dakota MEDICAID 6575380

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