Clem, Sudie M
Clem, Sudie M is an sole proprietor health care provider with primary practice located at 112 Bypass 225 , Greenwood SC 29646. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Clem, Sudie M can be contacted via phone (864) 344-3484.Contact Information
Primary practice address
112 Bypass 225
Greenwood SC 29646
Phone: (864) 344-3484
Fax: (864) 977-3480
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 5617 | South Carolina |
Profile Details
| NPI number | 1336331743 |
|---|---|
| LBN Legal business name | Clem, Sudie M |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2007 |
| Last updated | Jul 21st, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336331743 | NPPES |
| South Carolina | MEDICAID | SW1112 |
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