Individual
MARTHA CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 KIRKLAND RD, COVINGTON, GA 30016-3317
(770) 784-3188
(770) 784-3187
Mailing address
2154 BROWN ST SW, COVINGTON, GA 30014-2372
(770) 784-9075
(770) 784-3187
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/22/2006
Last updated
07/08/2007
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