Individual
CLARISSA SIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1492 S SILICON WAY, ST GEORGE, UT 84770-7155
(435) 275-8911
Mailing address
1492 S SILICON WAY, ST GEORGE, UT 84770-7155
(435) 275-8911
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
06/21/2016
Last updated
08/17/2016
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