Clifford Mcquillen JR., LCP

NPI #1265565105 in Riverton, Kansas

Provider Information

NPI Number: 1265565105
Entity Type: Individual
Name: Clifford Mcquillen JR., LCP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: LCP
Enumeration Date: Mar 13, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 6610 SE QUAKERVALE RD
City: Riverton
State: Kansas
ZIP Code: 66770-4185
Phone: (620) 848-2300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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