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Individual

CANDICE ROSE CLIFFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
320 CARLETON AVE STE 8800, CENTRAL ISLIP, NY 11722-4506
(631) 663-4300
(631) 633-4350
Mailing address
6 TRUVAL LN, NESCONSET, NY 11767-2216
(631) 626-6906

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
NY

Other

Enumeration date
07/01/2021
Last updated
07/01/2021
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