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Individual

CLIFFORD A MASSIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
800 BIESTERFIELD RD, SUITE 510, ELK GROVE VILLAGE, IL 60007-3361
(847) 981-3660
(847) 956-5108
Mailing address
800 BIESTERFIELD RD, SUITE 510, ELK GROVE VILLAGE, IL 60007-3361
(847) 981-3660
(847) 956-5108

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071004962
IL

Other

Enumeration date
10/11/2007
Last updated
04/05/2021
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