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Individual
DR. SUE DIANE CLIFFORD
Active
Individual
DR. SUE DIANE CLIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., L.P.C.
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
17818
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14495
COMMUNITY FIRST PROVIDER
TX
05
—
157656301
—
TX
01
—
2099978
FIRST HEALTH PROVIDER #
TX
01
—
2170669
CIGNA PROVIDER #
TX
01
—
276802
MHN PROVIDER #
TX
01
—
486262000
AETNA PROVIDER #
TX
01
—
6418LC
BCBS PROVIDER #
TX
Enumeration date
10/31/2006
Last updated
09/14/2022
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