Individual
MACKENZIE SHAE CLIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3645 TRUST DR UNIT 3649, RALEIGH, NC 27616-2955
(980) 785-1113
(980) 785-1114
Mailing address
814 TYVOLA RD STE 126, CHARLOTTE, NC 28217-3539
(980) 785-1113
(980) 785-1114
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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