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Individual
KIANA M CLERKLEY
Active
Individual
KIANA M CLERKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
CA
1041C0700X
Clinical Social Worker
Primary
111026
CA
172V00000X
Community Health Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9140860054
AETNA
CA
Enumeration date
02/19/2019
Last updated
11/03/2022
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