Individual
CLAIRE CLEMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP- CCC
Contact information
Practice address
124 QUAIL BROOK DR, TEXARKANA, TX 75501-2179
(405) 471-2272
Mailing address
124 QUAIL BROOK DR, TEXARKANA, TX 75501-2179
(405) 471-2272
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#4026
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213976721
—
AR
Enumeration date
07/18/2016
Last updated
07/18/2016
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