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1629195995
KEITH R. CLEMSON
SAINT LOUIS, MO
NPI
1629195995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: MO 2000165547)
Enumeration Date
2007-03-23
Last Update Date
2007-07-08
Business Address
KEITH R. CLEMSON LPC
4231 LACLEDE AVE
SAINT LOUIS, MO 63108-2814
Phone number: 314-276-5622
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Mailing Address
KEITH R. CLEMSON LPC
4231 LACLEDE AVE
SAINT LOUIS, MO 63108-2814
Phone number: 314-276-5622
Copy
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