Individual
MADELINE MCCLELLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 ADAMS ST, AFTON, WY 83110-9621
(307) 885-5800
Mailing address
540 FOREST CIRCLE DR., PO BOX 4007, ALPINE, WY 83128
(307) 699-1714
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
20152390066
WY
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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