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Individual

JOANNA MCCLAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
4645 SAMUELL BLVD, DALLAS, TX 75228-6826
(214) 275-7393
Mailing address
1380 RIVER BEND DR, DALLAS, TX 75247-4914

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
244090
TX

Other

Enumeration date
07/08/2010
Last updated
07/08/2010
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