Individual
JILLIAN CLEMENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
604 WASHINGTON ST NW STE B2, GAINESVILLE, GA 30501-8545
(770) 462-9810
Mailing address
8 RALEIGH PL, CROSS LANES, WV 25313-2604
(304) 546-2366
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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