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Individual

CLIFFORD A LEVIN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1212 NW 12TH AVE, STE B, GAINESVILLE, FL 32601-3032
(352) 372-6645
(352) 373-1237
Mailing address
1212 NW 12TH AVE, STE B, GAINESVILLE, FL 32601-3032
(352) 372-6645
(352) 373-1237

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY0003922
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
73186
BCBS
FL
Enumeration date
07/20/2005
Last updated
07/08/2007
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