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1396021069
MISTY JO CLEMENS
BELLEVILLE, IL
NPI
1396021069
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 180.006844)
Enumeration Date
2011-10-26
Last Update Date
2011-10-26
Business Address
Ms. MISTY JO CLEMENS M.A., LCPC
56 S 65TH ST SUITE 1
BELLEVILLE, IL 62223-2945
Phone number: 618-795-7608
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Mailing Address
Ms. MISTY JO CLEMENS M.A., LCPC
56 S 65TH ST SUITE 1
BELLEVILLE, IL 62223-2945
Phone number: 618-795-7608
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