Individual
LAURA CLELLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPED
Contact information
Practice address
1900 MOUNTAIN DR, WINSLOW, AZ 86047-6947
(928) 221-3277
(866) 595-4526
Mailing address
1900 MOUNTAIN DR, WINSLOW, AZ 86047-6947
(928) 221-3277
(866) 595-4526
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ABC2482
AZ
Other
Enumeration date
08/31/2012
Last updated
07/21/2022
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