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Organization
CLIFFORD PSYCHIATRIC SERVICES
Active
Organization
CLIFFORD PSYCHIATRIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSE ELLEN CLIFFORD NP (SOLE MBR OWNER)
(228) 860-4471
Entity
Organization
Contact information
Practice address
1403 43RD AVE, GULFPORT, MS 39501-2545
(228) 897-7730
Mailing address
1403 43RD AVE, GULFPORT, MS 39501-2545
(228) 897-7730
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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