Individual
MS. LANE ELIZABETH MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1893 CLIFF GOOKIN BLVD STE B, TUPELO, MS 38801-6558
(662) 346-4584
(662) 346-4589
Mailing address
2210 QUAIL CREEK RD, TUPELO, MS 38801-7251
(662) 844-0999
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C6938
MS
Other
Enumeration date
07/13/2009
Last updated
06/25/2024
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