Individual
KELLIE L CLEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
139 POPLAR ST # 2, JERSEY CITY, NJ 07307-3231
(973) 680-2360
Mailing address
139 POPLAR ST # 2, JERSEY CITY, NJ 07307-3231
(973) 680-2360
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NJ
Other
Enumeration date
12/30/2022
Last updated
12/30/2022
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