Individual
MR. CLIFFORD MCKENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLPA
Contact information
Practice address
1052 E WASHINGTON ST, STEPHENVILLE, TX 76401-4558
(254) 965-3611
(254) 965-3618
Mailing address
5909 N HIGHWAY 281, MINERAL WELLS, TX 76067-2509
(940) 325-1072
(254) 965-3611
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
33902
TX
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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