Male or Other

Eric G. Clayburn

Clinical Social Worker in St Augustine, FL(View on Map)

Full Name

Eric Gaither Clayburn

NPI Number

1679279392

NPI Type

Individual Provider

Gender

Male

Enumeration Date

02/03/2023

Specialties

(Taxonomies)

Code

1041C0700X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

SW22547

Contact
Information

Purpose

Mailing
Location

Address

201 SIMONE WAY
201 SIMONE WAY

City

St Augustine
St Augustine

State

FL
FL

Postal Code

32086-7750
32086-7750

Country

US
US

Telephone Number

(386) 846-5412
(386) 846-5412

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/12/2024

Provider Address

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