Provider Demographics
NPI:1568917482
Name:CLIFT, DAWN
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:CLIFT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 BELLAFONTE CT
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93012-7747
Mailing Address - Country:US
Mailing Address - Phone:757-288-7022
Mailing Address - Fax:
Practice Address - Street 1:250 BELLAFONTE CT
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93012-7747
Practice Address - Country:US
Practice Address - Phone:757-288-7022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-20
Last Update Date:2016-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker