Individual
CLIFFORD ENSLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.S.
Contact information
Practice address
100 DEBARTOLO PLACE, SUITE 200, YOUNGSTOWN, OH 44512
(330) 965-7828
Mailing address
100 DEBARTOLO PL, SUITE 200, YOUNGSTOWN, OH 44512-7011
(330) 965-7828
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
OH3209294
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OH3209294
—
OH
Enumeration date
03/19/2015
Last updated
03/19/2015
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