Jacquelyn Clemons, LLBSW

NPI #1417476151 in Ecorse, Michigan

Provider Information

NPI Number: 1417476151
Entity Type: Individual
Name: Jacquelyn Clemons, LLBSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: LLBSW
Enumeration Date: Sep 13, 2017
Last Updated: Sep 13, 2017

Practice Location

Address: 4300 6TH ST
City: Ecorse
State: Michigan
ZIP Code: 48229-1110
Phone: (313) 724-6192

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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