Clyde Calvin Wayne JR.

NPI #1033559513 in Antioch, California

Provider Information

NPI Number: 1033559513
Entity Type: Individual
Name: Clyde Calvin Wayne JR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Jun 28, 2013
Last Updated: Jun 28, 2013

Practice Location

Address: 418 W 4TH ST
City: Antioch
State: California
ZIP Code: 94509-1245
Phone: (510) 393-1864

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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