Individual
COLLEEN CLEMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 NOYES ST, UTICA, NY 13502-3854
(315) 738-2653
Mailing address
1400 NOYES ST, UTICA, NY 13502-3854
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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