Organization
MARY MCLELLAN, LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY MCLELLAN (LCSW)
(505) 660-3580
Entity
Organization
Contact information
Practice address
300 PASEO DE PERALTA, #204, SANTA FE, NM 87501-8750
(505) 660-3580
Mailing address
PO BOX 71654, OAKLAND, CA 94612
(505) 660-3580
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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