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Individual

MR. CHARLES FREDERICK CLEMONS SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.P.C.

Contact information

Practice address
1907 N LAMAR BLVD STE 354, AUSTIN, TX 78705-4900
(512) 217-9287
(512) 233-6363
Mailing address
10806 EAST HIGHWAY 29, GEORGETOWN, TX 78626-2403
(512) 217-9287
(512) 233-6363

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
17321
TX

Other

Enumeration date
03/05/2007
Last updated
07/08/2007
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