Individual
DEBORAH MCCLOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
843 VIRGINIA AVE W, HUNTINGTON, WV 25704-1721
(304) 634-9458
Mailing address
843 VIRGINIA AVE W, HUNTINGTON, WV 25704-1721
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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