Individual provider · Type 1 NPI
Jacquelyn Clemons, LLBSW
Student in an Organized Health Care Education/Training Program · Ecorse, MI
NPI number
1417476151
Active
Practice location
4300 6th St
Ecorse, MI 48229-1110
Mailing address
9348 Tobine St
Romulus, MI 48174-3365
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: 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.
About NPI 1417476151
Jacquelyn Clemons, LLBSW's National Provider Identifier is 1417476151, issued on Sep 13, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ecorse, MI. The record was last updated on Sep 13, 2017.