Individual
MR. CLIFFORD WYMAN HUGHES IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAC
Contact information
Practice address
229 S DAVIS RD, LAGRANGE, GA 30241-2608
(800) 805-6989
Mailing address
100 WAVERLY WAY, LAGRANGE, GA 30240-2154
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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