Individual
LISA ANNE CLEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
808 5TH AVE, DES MOINES, IA 50309-1307
(515) 244-2267
(515) 244-1922
Mailing address
808 5TH AVE, DES MOINES, IA 50309-1307
(515) 244-2267
(515) 244-1922
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007639
IA
1041C0700X
Clinical Social Worker
14201
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
445297600
—
MN
Enumeration date
09/28/2006
Last updated
11/25/2014
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