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Individual

INGRID JEAN CLEFFI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CTRS

Contact information

Practice address
1722 S LEWIS RD, CAMARILLO, CA 93012-8520
(805) 445-7800
(805) 987-7237
Mailing address
2279 ROWLAND AVE, SIMI VALLEY, CA 93063-3047
(805) 522-5957
(805) 581-2554

Taxonomy

Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14393
CTRS
CA
Enumeration date
04/26/2007
Last updated
07/08/2007
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