Individual
MR. GAVIN S CLUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3795 S 900 E, APT 53, SALT LAKE CITY, UT 84106-1929
(208) 982-1751
Mailing address
3795 S 900 E, APT 53, SALT LAKE CITY, UT 84106-1929
(208) 982-1751
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/01/2017
Last updated
05/01/2017
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