Individual
THURGOOD CLEMON-KING
Active
Individual
THURGOOD CLEMON-KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
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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