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Data Detail

Name: Clifton Samuel Mixon 

Designation: Ph.D.

Issue Date: 11/4/2022

Expiration Date: 6/30/2024

License Number: 62 1146

Disciplinary Action: None

Company: Ochsner Hospital for Children

City: Jefferson

State: LA

Zip: 70121

Work Phone: (504) 842-3900  Ext:

Civil Commitment Certification: