Individual
MCKENZIE NICOLE CLEMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
75 INNOVATION DR APT 8205, GREENVILLE, SC 29607-7712
(706) 248-6679
Mailing address
205 FARRS BRIDGE RD, GREENVILLE, SC 29617-1905
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16197
SC
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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