Individual
MONTRIC MCCLENDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 SEALE RD, PHENIX CITY, AL 36869-6917
(678) 820-1862
Mailing address
4898 GA HIGHWAY 315 APT 401, FORTSON, GA 31808-4989
(678) 820-1862
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/08/2014
Last updated
05/17/2024
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