Individual
MS. DAVA MARIE CLEMENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7513 COURT STREET, ELIZABETHTOWN, NY 12932
(518) 873-3670
(518) 873-3777
Mailing address
PO BOX 931, LAKE PLACID, NY 12946-0931
(315) 382-5493
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/08/2009
Last updated
01/12/2011
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