Clemons, Jacqueline Lee

Clemons, Jacqueline Lee is an individual health care provider with primary practice located at 3716 W Brighton Ave , Peoria IL 61615-2938. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Clemons, Jacqueline Lee can be contacted via phone (309) 692-7755.

Contact Information

Primary practice address
3716 W Brighton Ave Peoria IL 61615-2938
Phone: (309) 692-7755
Fax: (309) 692-2262
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X Illinois

Profile Details

NPI number 1326199407
LBN Legal business name Clemons, Jacqueline Lee
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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