Individual
TAMMY CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Mailing address
19201 AUGUSTA HWY, ROUND O, SC 29474-4123
(803) 606-6319
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6849
SC
104100000X
Social Worker
Primary
6849
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6849
SC LLR
SC
Enumeration date
10/27/2015
Last updated
01/30/2018
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