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Courtney Clemmons

Speech-Language Pathologist, in St Augustine, FL. Individual provider (NPI-1).

NPI number1578045167
StatusActive
Last updated in NPPESAug 30, 2018

Details

NPI
1578045167
Entity type
Individual (NPI-1)
Name
Courtney Clemmons
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 30, 2018
Last updated
Aug 30, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,SZ8700FLYes

Practice location

2 Coleman Dr
St Augustine, FL 32084-2873

Phone 727-967-1036

Mailing address

2 Coleman Dr
St Augustine, FL 32084-2873

Phone 727-967-1036

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