Individual
CAROLINE H MCCLAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
636 E 19TH ST, BROOKLYN, NY 11230-1806
(860) 830-9611
Mailing address
636 E 19TH ST, BROOKLYN, NY 11230-1806
(860) 830-9611
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
106597
NY
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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