Ivory Clinton

NPI #1003461070 in Warren, Michigan

Provider Information

NPI Number: 1003461070
Entity Type: Individual
Name: Ivory Clinton
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 7, 2019
Last Updated: Aug 7, 2019

Practice Location

Address: 3601 E 11 MILE RD
City: Warren
State: Michigan
ZIP Code: 48092-2878
Phone: (303) 989-8169

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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