Most Relevant Information
Provider Data
| NPI Number: | 1003576174 |
| Provider Name: | CLAYTON SHELL |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/30/2021 |
| Last Updated: | 12/30/2021 |
Provider Practice Location
1483 TRAVERTINE TER
SANFORD
FL
327717730
Practice Location Phone/Fax
| Phone: | 4237477741 |
| Fax: |
Provider Mailing Location
1483 TRAVERTINE TER
SANFORD
FL
327717730
Provider Mailing Phone/Fax
| Phone: | 4237477741 |
| Fax: |