Individual
MRS. SHELLEY CLEMENTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
336 BEAUMONT DR., ARDMORE, OK 73401-9112
(580) 341-0426
Mailing address
336 BEAUMONT DR, ARDMORE, OK 73401-9112
(580) 341-0426
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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