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Individual
CRYSTAL MCLAREN
Active
Individual
CRYSTAL MCLAREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHRS
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200049040A
—
OK
Enumeration date
05/26/2011
Last updated
05/26/2011
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