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Jacquelyn Clemons, LLBSW
Student in an Organized Health Care Education/Training Program in Ecorse, Michigan
NPI 1417476151

Jacquelyn Clemons is a Student in an Organized Health Care Education/Training Program based in Romulus, MI. Jacquelyn Clemons practices in Ecorse, MI and has the professional credentials of LLBSW. The NPI Number for Jacquelyn Clemons is 1417476151 and holds a License No. (Michigan).

The current practice location address for Jacquelyn Clemons is 4300 6Th St, Ecorse, MI and can be reached out via phone at 313-724-6192.

Location: 4300 6Th St, Ecorse, MI, 48174-3365
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417476151
Provider Name
Jacquelyn Clemons
Credential
LLBSW
Provider Entity Type
Individual
Gender
Female
Address
4300 6Th St, Ecorse, MI, 48174-3365
Phone Number
313-724-6192
Fax Number
Provider Enumeration Date
09/13/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4300 6Th St
City
Ecorse
State
Michigan
Zip
48229-1110
Phone Number
313-724-6192
Fax Number
person
Provider Business Mailing Address Details
Address
4300 6Th St
City
Ecorse
State
Michigan
Zip
48229-1110
Phone Number
313-724-6192
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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