Individual
MS. JACQUELINE CLEMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
625 ASHLAND ST, ARCHDALE, NC 27263-2943
(336) 434-2902
(336) 434-4477
Mailing address
5543 FRANCES CT, WINSTON SALEM, NC 27105-1772
(336) 624-3454
(336) 744-5624
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5927
NC
Other
Enumeration date
01/17/2012
Last updated
01/22/2026
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