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Individual
CLIFFORD S WOODALL
Active
Individual
CLIFFORD S WOODALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA, SSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
Primary
3107107-2506
UT
104100000X
Social Worker
3107107-3503
UT
Other
Enumeration date
03/01/2017
Last updated
06/17/2024
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