Individual
CLIFFORD THAYER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2112 RIVERDALE STREET, WEST SPRINGFIELD, MA 01089
(413) 827-4379
Mailing address
214 WILLIAMSBURG ROAD, WILLIAMSBURG, MA 01096
(413) 268-9348
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/07/2009
Last updated
04/07/2009
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