Elven Ray Clemons

NPI #1730496860 in Grants, New Mexico

Provider Information

NPI Number: 1730496860
Entity Type: Individual
Name: Elven Ray Clemons
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Sep 10, 2010
Last Updated: Sep 10, 2010

Practice Location

Address: 1217 BONITA ST
City: Grants
State: New Mexico
ZIP Code: 87020-2103
Phone: (505) 471-5006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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