Individual
LESA CLIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4125 SUMMITT RD, KEARNEY, NE 68845
(308) 995-6292
Mailing address
4125 SUMMITT RD, KEARNEY, NE 68845-1700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1481
NE
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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