Individual
COURTNEY CLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 N 10TH ST, GAS CITY, IN 46933-1605
(888) 877-7222
(317) 978-3478
Mailing address
2342 S COPPERSTONE DR, NEW PALESTINE, IN 46163-8036
(888) 877-2222
(317) 978-3478
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-167096
—
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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