Individual
TRACEY MCCLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4410 HARDWOOD ST, LADSON, SC 29456-3713
(843) 371-8918
Mailing address
4410 HARDWOOD ST, LADSON, SC 29456-3713
(843) 371-8918
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
SC
376K00000X
Nurse's Aide
—
SC
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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