Individual
DR. CLEMEA J DONALDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7260 S SOUTH SHORE DR, CHICAGO, IL 60649-2858
(773) 707-1533
Mailing address
7260 S SOUTH SHORE DR APT 3B, CHICAGO, IL 60649-2703
(773) 707-1533
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
405300000X
Prevention Professional
20100134711
TX
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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