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Individual

DR. CLIFFORD RAY GRAHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1211 MAGNOLIA AVE STE D, REDDING, CA 96001-1522
(530) 245-0502
(530) 244-4338
Mailing address
1211 MAGNOLIA AVE, SUITE D, REDDING, CA 96001-1522
(530) 245-0502
(530) 244-4338

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY5631
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PSY056310
CA
Enumeration date
08/02/2006
Last updated
08/19/2013
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