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NPI Code Detail

MEDICARE: ELIZABETH DAVIS CLEMENTS LPC

MEDICARE:   ELIZABETH DAVIS CLEMENTS  LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor8573NC

General Provider Information

NPI Number : 1417293861
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH DAVIS CLEMENTS LPC
Provider Business Mailing Address
First Line : 1101 N MAIN ST
Second Line :
City : LOWELL
State : NC
Zip : 28098-1204
Country : US
Telephone Number : 704-836-6443
Fax Number :
Provider Business Practice Location Address
First Line : 1101 N MAIN ST
Second Line :
City : LOWELL
State : NC
Zip : 28098-1204
Country : US
Telephone Number : 704-836-6443
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2012
Last Update Date : 01/06/2020

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Directions to “ ELIZABETH DAVIS CLEMENTS LPC” Practice Location

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