Individual
MRS. SUZANNE LOUISE CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
9466 BLACK MOUNTAIN RD STE 100, SAN DIEGO, CA 92126-4550
(858) 689-2027
Mailing address
5590 BAJA DR, SAN DIEGO, CA 92115-2235
(619) 204-8486
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
1748
CA
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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