Individual
SHIRLEY BETH CLEMENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
2707 STUART ST, BURNS, TN 37029
(615) 306-4650
Mailing address
2707 STUART ST, BURNS, TN 37029-6103
(615) 306-4650
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
80
TN
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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