Individual
MS. FONDA D MCCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-CHW
Contact information
Practice address
12200 FAIRHILL RD, CLEVELAND, OH 44120
(216) 409-3850
Mailing address
23411 CHARDON ROAD, EUCLID, OH 44117
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
CHW.001194
OH
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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