Individual
KATY CLEMENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LD
Contact information
Practice address
4100 SPRING VALLEY RD STE 515, DALLAS, TX 75244-3629
(817) 751-7802
(847) 859-5885
Mailing address
175 E HAWTHORN PKWY STE 235, VERNON HILLS, IL 60061-1454
(847) 868-3435
(847) 859-5885
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT86579
TX
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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