Individual
CLIFFORD EXILHOMME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 POPE ST, SALEM, MA 01970-2106
(978) 397-9800
Mailing address
12 POPE ST, SALEM, MA 01970-2106
(978) 397-9800
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042104791
—
MA
Enumeration date
01/06/2014
Last updated
01/06/2014
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