Individual
TAMMY MCCLARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13279 W GOLDMINE RD, PEARL CITY, IL 61062-9129
(480) 201-3474
Mailing address
13279 W GOLDMINE RD, PEARL CITY, IL 61062-9129
(480) 201-3474
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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