Individual
MISS LYDIA DENISE MCCLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12440 IMPERIAL HWY, NORWALK, CA 90650-3177
(562) 565-6339
Mailing address
2630 S HOBART BLVD APT 3, LOS ANGELES, CA 90018-3532
(562) 565-6339
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
33951
CA
Other
Enumeration date
03/18/2013
Last updated
03/18/2013
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