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Individual

MRS. AMY MICHELLE CLEMENTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
615 SNOW AVE, RICHLAND, WA 99352-3851
(509) 967-6231
Mailing address
615 SNOW AVE, RICHLAND, WA 99352-3851
(509) 967-6231

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60314863
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LL60314863
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
11/28/2012
Last updated
11/28/2012
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