Individual
FORREST JAMES MCLEAN
Active
Individual
FORREST JAMES MCLEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
CW014736
PA
1041C0700X
Clinical Social Worker
Primary
CW014736
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010159960003
—
PA
01
—
140178
VALUE OPTIONS
PA
01
—
817343
FIRST PRIORITY HEALTH
PA
01
—
Q19362
HEALTHAMERICA
PA
Enumeration date
04/03/2006
Last updated
06/17/2020
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