Individual
DERRICK ALEXANDER MCCLAIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 44118
(216) 932-2800
Mailing address
22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 44118-4819
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1904071
OH
Other
Enumeration date
06/12/2018
Last updated
08/05/2019
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