Individual
SHAWNTAY MCCLURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1635 THORNHOLLOW DR, HOUSTON, TX 77014-1892
(832) 216-2893
Mailing address
1635 THORNHOLLOW DR, HOUSTON, TX 77014-1892
(832) 216-2893
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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