Scott Clem

NPI #1063890341 in Gillette, Wyoming

Provider Information

NPI Number: 1063890341
Entity Type: Individual
Name: Scott Clem
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: May 7, 2015
Last Updated: May 7, 2015

Practice Location

Address: 905 N GURLEY AVE
City: Gillette
State: Wyoming
ZIP Code: 82716-2109
Phone: (307) 686-0669

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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