Individual
JOHN CLIFFORD AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
12838 HIGHWAY 27, LITTLE FALLS, MN 56345-5209
(320) 360-4880
(320) 639-0220
Mailing address
12838 HIGHWAY 27, LITTLE FALLS, MN 56345-5209
(320) 360-4880
(320) 639-0220
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12565
MN
Other
Enumeration date
10/27/2009
Last updated
07/25/2022
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