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Individual

MS. CHEZ CLEMMONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC013537

Contact information

Practice address
7066 SILVER BEND OVERLOOK, AUSTELL, GA 30168-7462
(770) 605-8745
Mailing address
7066 SILVER BEND OVERLOOK, AUSTELL, GA 30168-7462
(770) 605-8745

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC013537
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LPC013537
LICENSE FOR PROFESSIONAL COUNSELING
GA
Enumeration date
02/28/2023
Last updated
02/28/2023
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