| NPI | 1093051229 |
|---|---|
| Other Name | STEPHANIE JO CLEMMONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 103057) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY KY-1322) |
| Enumeration Date | 2012-12-16 |
| Last Update Date | 2024-07-17 |