# SUDIE M CLEM LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225556590
- **Authorized official:** MRS. SUDIE MOORE CLEM LISW-CP (OWNER/PROVIDER)
- **Authorized official phone:** (864) 344-3484

## Contact information

- **Practice address:** 112 BYPASS 225, GREENWOOD, SC 29646
- **Practice address phone:** (864) 344-3484
- **Practice address fax:** (864) 977-3480
- **Mailing address:** 112 BYPASS 225, GREENWOOD, SC 29646-1154
- **Mailing address phone:** (864) 344-3484
- **Mailing address fax:** (864) 977-3480

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 5617 | SC | Yes |

## Other

- **Enumeration date:** 09/06/2017
- **Last updated:** 07/21/2022
