Individual
RENEE ROUSE CLENNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4638 KING COLE BLVD, ORLANDO, FL 32811-4926
(678) 665-2572
Mailing address
4638 KING COLE BLVD, ORLANDO, FL 32811-4926
(678) 665-2572
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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