Individual
MRS. SUDIE M CLEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
112 BYPASS 225, GREENWOOD, SC 29646
(864) 344-3484
(864) 977-3480
Mailing address
112 BYPASS 225, GREENWOOD, SC 29646-1154
(864) 344-3484
(864) 977-3480
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5617
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SW1112
—
SC
Enumeration date
08/10/2007
Last updated
07/21/2022
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