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Individual

BROOKLYN PAIGE CLEMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LGSW

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BP00945239
WV
1041C0700X
Clinical Social Worker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810015614
WV
Enumeration date
12/03/2020
Last updated
12/03/2020
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