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Mr. Clifton Leo Davis JR.
Mental Health Counselor in Madison, Wisconsin
NPI 1285289587

Clifton Leo Davis JR. is a Mental Health Counselor based in Madison, WI and is specialized in Mental Health. Clifton Leo Davis JR. practices in Madison, WI. The NPI Number for Clifton Leo Davis JR. is 1285289587 and holds a License No. 4891-226 (Wisconsin).

The current practice location address for Clifton Leo Davis JR. is 815 Forward Dr., Madison, WI and can be reached out via phone at 608-268-6530 and via fax at 608-709-1744.

Location: 815 Forward Dr., Madison, WI, 53711
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285289587
Provider Name
Clifton Leo Davis JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
815 Forward Dr., Madison, WI, 53711
Phone Number
608-268-6530
Fax Number
608-709-1744
Provider Enumeration Date
08/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
815 Forward Dr.
City
Madison
State
Wisconsin
Zip
53711
Phone Number
608-268-6530
Fax Number
608-709-1744
person
Provider Business Mailing Address Details
Address
815 Forward Dr.
City
Madison
State
Wisconsin
Zip
53711
Phone Number
608-268-6530
Fax Number
608-709-1744
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
4891-226 (Wisconsin)
Definition
Definition to come...
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