Capen Shayne Clarke

NPI #1083140438 in Cocoa, Florida

Provider Information

NPI Number: 1083140438
Entity Type: Individual
Name: Capen Shayne Clarke
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: May 4, 2017
Last Updated: Oct 17, 2022

Practice Location

Address: 4420 DELESPINE RD
City: Cocoa
State: Florida
ZIP Code: 32927-3552
Phone: (321) 795-6818

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary
Social Worker - Clinical — Clinical	1041C0700X

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