Individual
MISS SHAKIESHA MCCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 BRADFORD AVE, FAYETTEVILLE, NC 28301-5401
(910) 323-0601
Mailing address
1640 WINNABOW DR, FAYETTEVILLE, NC 28304-4838
(910) 222-6169
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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