Individual
CLIFTON ALAN EARLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
136 HEID AVE, DAYTON, OH 45404-1218
(937) 853-3328
Mailing address
136 HEID AVE, DAYTON, OH 45404-1218
(937) 853-3328
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
161616
OH
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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