Individual
SHELLEY KAY MCLEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
347 HIGHWAY 98, EASTPOINT, FL 32328
(850) 766-1087
Mailing address
PO BOX 466, LANARK VILLAGE, FL 32323-0466
(850) 766-1087
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA45429
FL
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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