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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CLOVIS EVERET DALEY, LICSW

Active Sole Proprietor

CLOVIS EVERET DALEY, LICSW is a Case Manager healthcare provider located in AQUASCO, Maryland. NPI 1003189747 is currently active in the NPPES registry. Verify at CMS.

Case Manager · AQUASCO, MD

Registration Details

NPI Number
1003189747
Provider Type
Individual
Gender
Male
NPI Issued
Feb 10, 2012 (14.465556713048 yrs)
Last Updated
Feb 10, 2012
License
LC50079299 (DC)
Sole Proprietor
Yes

Practice Information

Address
17102 EAGLE HARBOR RD
AQUASCO, MD, 206089566
Browse MD providers · Browse ZIP 20608
Phone
3012660340
Primary Specialty
Case Manager
171M00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.