Individual
DESTINY CLIFFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
311 S 11TH ST, HARTSHORNE, OK 74547-4217
(918) 297-3400
Mailing address
27 DAVENPORT RD, QUINTON, OK 74561-5021
(918) 916-6622
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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