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Individual

DR. ELVERA ELLEN MCLEES

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
390 COMMERCE DR, SUITE C, ABINGDON, VA 24211-3876
(276) 619-5888
Mailing address
PO BOX 982, ABINGDON, VA 24212-0982
(276) 619-5888

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810000337
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7705719
VA
Enumeration date
01/02/2006
Last updated
07/09/2007
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