Individual
KELLY MARIE CLIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2730B CALLE ANNA JEAN, SANTA FE, NM 87505-5205
(603) 801-5010
Mailing address
PO BOX 23082, SANTA FE, NM 87502-3082
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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