Individual
MR. CLIFFORD STEVENS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1570 SUNCREST DR, LAPEER, MI 48446-1154
(810) 667-0500
Mailing address
1570 SUNCREST DR, LAPEER, MI 48446-1154
(810) 667-0500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801011504
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1705242
—
MI
Enumeration date
05/24/2006
Last updated
07/08/2007
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