Individual
MELISSA LARAE CLIFTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
159 COLLETT LN, KETTLE ISLAND, KY 40958-9003
(160) 626-9019
Mailing address
159 COLLETT LN, KETTLE ISLAND, KY 40958-9003
(160) 626-9019
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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