Individual
CLIFTON KEITH JEFFRIES IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW LCSW-A
Contact information
Practice address
943 W ANDREWS AVE, HENDERSON, NC 27536-2516
(252) 598-2462
(919) 435-8070
Mailing address
508 HAMPTON LN, YOUNGSVILLE, NC 27596-8743
(336) 671-7338
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P019391
NC
Other
Enumeration date
07/17/2023
Last updated
07/26/2023
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