Individual
CLIFFORD H BOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
219 MEADOW DR, HORSEHEADS, NY 14845-1715
(607) 767-6131
Mailing address
219 MEADOW DR, HORSEHEADS, NY 14845-1715
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
073340-1
NY
Other
Enumeration date
01/07/2008
Last updated
01/07/2008
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