NPI | 1104223718 |
---|---|
Other Name | RICK MCCLUNG |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 1817) |
Additional Taxonomies | 104100000X Social Worker (Licence: KY 1817) |
Enumeration Date | 2014-11-25 |
Last Update Date | 2022-03-14 |