Individual
CLINTON SEVILLLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1551 FORUM PL BLDG 400DE, WEST PALM BEACH, FL 33401-2319
(561) 616-8411
Mailing address
1551 FORUM PLACE BLDG 400 D & E, WEST PALM BEACH, FL 33401-2319
(561) 616-8411
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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