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Kathleen Agnes Clifton, MS CCC-SLP

Speech-Language Pathologist, in Roseville, CA. Individual provider (NPI-1).

NPI number1679720601
StatusActive
Last updated in NPPESJul 6, 2011

Details

NPI
1679720601
Entity type
Individual (NPI-1)
Name
Mrs. Kathleen Agnes Clifton
Credential
MS CCC-SLP
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 21, 2008
Last updated
Jul 6, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,SP8713CAYes

Practice location

2530 Douglas Blvd Ste 130
Roseville, CA 95661-3990

Phone 916-521-0575 · Fax 916-723-9053

Mailing address

Po Box 432
Citrus Heights, CA 95611

Phone 916-521-0575 · Fax 916-723-9053

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