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Individual
MR. CLARENCE RILEY JR.
Active
Individual
MR. CLARENCE RILEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12600
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12260
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
08/25/2014
Last updated
02/25/2015
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