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Individual
CLIFTON DAVIS
Active
Individual
CLIFTON DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14224833-3502
UT
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/12/2019
Last updated
03/26/2026
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