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1285289587
CLIFTON LEO DAVIS
MADISON, WI
NPI
1285289587
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WI 4891-226)
Enumeration Date
2019-08-05
Last Update Date
2022-05-25
Business Address
Mr. CLIFTON LEO DAVIS
815 FORWARD DR.
MADISON, WI 53711
Phone number: 608-268-6530
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Mailing Address
Mr. CLIFTON LEO DAVIS
815 FORWARD DR.
MADISON, WI 53711
Phone number: 608-268-6530
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