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Individual

JOSEPH CLIFFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
101 BACON ST, PAWTUCKET, RI 02860-5542
(401) 722-3560
(401) 724-3120
Mailing address
249 ROOSEVELT AVE, SUITE 205, PAWTUCKET, RI 02860-2134
(401) 724-8400
(401) 365-1100

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW000747
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
JC07808
RI
Enumeration date
07/11/2006
Last updated
07/09/2007
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