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McKenzie Kay Clanton

Counselor in Springfield, IL. Individual provider (NPI-1).

NPI number1801416136
StatusActive
Last updated in NPPESApr 16, 2020

Details

NPI
1801416136
Entity type
Individual (NPI-1)
Name
McKenzie Kay Clanton
Sex
Female
Sole proprietor
No
Enumeration date
Apr 16, 2020
Certification date
Apr 16, 2020
Last updated
Apr 16, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor––Yes

Practice location

5230 6th Street Frontage Rd E
Springfield, IL 62703-5128

Phone 217-585-1180

Mailing address

5230 6th Street Frontage Rd E
Springfield, IL 62703-5128

Phone 217-585-1180

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