Individual
JENNIFER CLIFTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1112 LINCOLNSHIRE DR, CHAMPAIGN, IL 61821-5606
(217) 355-1697
Mailing address
504 S BUSEY AVE, URBANA, IL 61801-3906
(618) 402-3194
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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