Jacqueline Lee Clemons LCSW

NPI 1326199407 - Social Worker - 1041C0700X

NPI Details
NPI 1326199407
Gender Female
Enumeration Date 01/15/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3716 W BRIGHTON AVE
PEORIA IL, 61615-2938, US
Phone (309) 692-7755
Fax (309) 692-2262
Business Location
3716 W BRIGHTON AVE
PEORIA IL, 61615-2938, US
Phone (309) 692-7755
Fax (309) 692-2262
Toxanomy
Taxonomy Code 1041C0700X
License State
License Number
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According to our database, Miss Jacqueline Lee Clemons LCSW NPI is 1326199407, taxonomy code is 1041C0700X Jacqueline Lee Clemons LCSW physically located at 3716 W Brighton Ave, Peoria IL, 61615-2938. NPI Number Jacqueline Lee Clemons LCSW has the Individual type.

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1326199407 NPI number is provided on an as is basis without warranty of any kind. 1326199407 is maintained by the National Plan & Provider Enumeration System. The contents of Jacqueline Lee Clemons LCSW are for informational purposes only.