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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACQUELYN CLEMONS, LLBSW

Active Sole Proprietor

JACQUELYN CLEMONS, LLBSW is a Student (Health Education/Training) healthcare provider located in ECORSE, Michigan. NPI 1417476151 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · ECORSE, MI

Registration Details

NPI Number
1417476151
Provider Type
Individual
Gender
Female
NPI Issued
Sep 13, 2017 (8.900638964382 yrs)
Last Updated
Sep 13, 2017
Sole Proprietor
Yes

Practice Information

Address
4300 6TH ST
ECORSE, MI, 482291110
Browse MI providers · Browse ZIP 48229
Phone
3137246192
Primary Specialty
Student (Health Education/Training)
390200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.