Thomas Dale Clay, LCSW
Social Worker, Clinical in Danville, IL. Individual provider (NPI-1).
NPI number1124470752
StatusActive
Last updated in NPPESJun 14, 2021
Details
- NPI
- 1124470752
- Entity type
- Individual (NPI-1)
- Name
- Mr. Thomas Dale Clay
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2016
- Certification date
- Jun 14, 2021
- Last updated
- Jun 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 34007792A | IN | Yes |
Practice location
1900 E Main StBuilding 116, 162a
Danville, IL 61832-5100
Phone 217-554-3000
Mailing address
1900 E Main StBuilding 116, 162a
Danville, IL 61832-5100
Phone 217-554-3000
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