Individual
JEAN CATHERINE CLIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12907 BROAD ST, CARMEL, IN 46032-7305
(603) 867-2755
Mailing address
12907 BROAD ST, CARMEL, IN 46032-7305
(603) 867-2755
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
104441
MA
1041C0700X
Clinical Social Worker
Primary
34005960A
—
Other
Enumeration date
09/09/2018
Last updated
09/09/2018
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