Individual
CRAIG A. CLIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
344 E 100 S, STE 301, SALT LAKE CITY, UT 84111-1700
(801) 322-4257
Mailing address
315 W 700 N, #11, SALT LAKE CITY, UT 84103-1346
(801) 347-4999
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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