Individual
MS. JESSICA DAWN CLEMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, TLLP
Contact information
Practice address
1 PARKLANE BLVD STE 200E, DEARBORN, MI 48126-2400
(313) 846-2606
(313) 846-2657
Mailing address
6509 CHEYNE CT, WEST BLOOMFIELD, MI 48322-3179
(248) 661-5792
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6362010007
MI
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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