Individual
MS. TABITHA CLIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1500 ROUTE 88, BRICK, NJ 08724-2320
(732) 785-1900
(732) 785-9500
Mailing address
88 FORD AVE, MILLTOWN, NJ 08850-1534
(732) 406-0628
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06200800
NJ
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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