Individual
JAMES MATHEW MCCLUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5201 VENICE AVE NE STE A, ALBUQUERQUE, NM 87113-2337
(505) 916-2007
Mailing address
10105 DENALI CT, ALBUQUERQUE, NM 87111
(505) 615-6910
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2022-0382
NM
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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