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1588080873
ELLEN CLEMMONS
COLUMBIA, SC
NPI
1588080873
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: SC 3855)
Enumeration Date
2014-03-11
Last Update Date
2014-03-11
Business Address
-- ELLEN CLEMMONS
731 POLO RD
COLUMBIA, SC 29223-4462
Phone number: 803-788-8655
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Mailing Address
-- ELLEN CLEMMONS
942 BROOKFIELD DR
WEST COLUMBIA, SC 29172-2014
Phone number:
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