Individual
MS. JENNIFER LARAE CLEMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1010 W PROSPECT ST, CAMERON, MO 64429-2051
(816) 632-7498
Mailing address
1010 W PROSPECT ST, CAMERON, MO 64429-2051
(816) 288-1774
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1999140351
MO
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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