Individual
JESSICA M CLEMENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 S WEBSTER AVE, JACKSONVILLE, IL 62650
(217) 479-6312
Mailing address
125 S WEBSTER AVE, JACKSONVILLE, IL 62650-1877
(217) 479-6312
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.013237
IL
235Z00000X
Speech-Language Pathologist
2016029414
MO
Other
Enumeration date
06/18/2017
Last updated
01/03/2019
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