Individual
MR. CLIFTON LEO DAVIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
815 FORWARD DR., MADISON, WI 53711
(608) 268-6530
(608) 709-1744
Mailing address
815 FORWARD DR., MADISON, WI 53711
(608) 268-6530
(608) 709-1744
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4891-226
WI
Other
Enumeration date
08/05/2019
Last updated
05/25/2022
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