Individual
PERRY ADREN MCCLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PEER SPECIALIST
Contact information
Practice address
157 CENTRAL AVE # 1-L, HACKENSACK, NJ 07601-3438
(973) 930-1714
Mailing address
157 CENTRAL AVE # 1-L, HACKENSACK, NJ 07601-3438
(973) 930-1714
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
50145
NJ
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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