Individual
MRS. AVIS CLEMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5300 MEMORIAL DR, SUITE 224A, STONE MOUNTAIN, GA 30083-3148
(678) 497-5975
(770) 908-2462
Mailing address
5720 WYNDEMERE LN, STONE MOUNTAIN, GA 30087-2525
(678) 497-5975
(770) 908-2462
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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