Individual
MS. CHARLEAN CLEMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
965 LIBERTY STREET SE, POYAMA COUNSELING, SALEM, OR 97302
(503) 588-2004
(503) 588-2415
Mailing address
965 LIBERTY STREET SE, POYAMA COUNSELING, SALEM, OR 97302
(503) 588-2004
(503) 588-2415
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3994
OR
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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