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Individual

THURGOOD CLEMON-KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
44200 WOODWARD AVE STE 212, PONTIAC, MI 48341-5045
(248) 332-4540
Mailing address
44200 WOODWARD AVE STE 212, PONTIAC, MI 48341-5045

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704392331
MI
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
4704392331
MI
163WC0400X
Case Management Registered Nurse
Primary
4704392331
MI
163WP0808X
Psychiatric/Mental Health Registered Nurse
4704392331
MI
163WP2201X
Ambulatory Care Registered Nurse
4704392331
MI

Other

Enumeration date
01/28/2026
Last updated
03/12/2026
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