Clayton, Dolly H

Clayton, Dolly H is an individual health care provider with primary practice located at 80 East Street , Pittsboro NC 27312. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Clayton, Dolly H can be contacted via phone (919) 545-8367.

Contact Information

Primary practice address
80 East Street Pittsboro NC 27312
Phone: (919) 545-8367
Fax: (919) 542-8227
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C004674 North Carolina

Profile Details

NPI number 1588754105
LBN Legal business name Clayton, Dolly H
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Jul 9th, 2007 - about 17 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 1588754105 NPPES
North Carolina Other C004674 STATE LICENSE NUMBER
North Carolina MEDICAID 6106141 STATE LICENSE NUMBER

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