JACQUELYN CLEMONS LLBSW
NPI 1417476151
Student in an Organized Health Care Education/Training Program in Ecorse, MI
About Jacquelyn Clemons Llbsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELYN CLEMONS LLBSW (NPI 1417476151) is an individual student in an organized health care education/training program in Ecorse, Michigan and active in the NPI registry since September 2017.
NPPES Registry Identity
Specialties & Licenses
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417476151, enumerated as an "individual" on September 13, 2017.
The provider is located at 4300 6TH ST ECORSE, MI 48229 and the phone number is (313) 724-6192.
Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.