Individual
LISA L CLEMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-5764
Mailing address
1900 E MAIN ST, DANVILLE, IL 61832-5100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/03/2013
Last updated
12/28/2022
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