NPI | 1346863487 |
---|---|
Other Name | MARLENA SYLVIA MCCLURE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TN 1234) |
Enumeration Date | 2020-05-23 |
Last Update Date | 2020-05-23 |