Individual
HEIDI LYNN MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
603 BERGEN ST, BROOKLYN, NY 11238-3405
(646) 242-8477
Mailing address
961 E 54TH ST, BROOKLYN, NY 11234-1601
(646) 242-8477
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
088317
NY
Other
Enumeration date
02/27/2014
Last updated
02/27/2014
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