Individual
MR. CLIFFORD LEE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
3810 WINCHESTER RD, SOUTHEAST MENTAL HEALTH CENTER, MEMPHIS, TN 38118-6045
(901) 369-1480
(901) 369-1452
Mailing address
4131 PALM AVE, MEMPHIS, TN 38128-6320
(901) 377-2303
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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