Individual
SUSAN CLEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 PINE RD, FORESTDALE, MA 02644-1413
(774) 228-2420
Mailing address
19 PINE RD, FORESTDALE, MA 02644-1413
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12160
MA
Other
Enumeration date
09/25/2014
Last updated
10/01/2014
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