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Individual
DEBRA MCCLINTOCK
Active
Individual
DEBRA MCCLINTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LCSW -PIP QMHP
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
106722
IA
1041C0700X
Clinical Social Worker
29540
MN
1041C0700X
Clinical Social Worker
3468
SD
1041C0700X
Clinical Social Worker
Primary
4773
SD
1041C0700X
Clinical Social Worker
6061
ND
Other
Enumeration date
11/30/2016
Last updated
06/08/2021
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