Organization
MCCLURE LIMITED LICENSE PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MCCLURE PLLC (OWNER)
(616) 426-2450
Entity
Organization
Contact information
Practice address
221 TROWBRIDGE ST NE APT 208, GRAND RAPIDS, MI 49503-1891
(616) 499-7711
Mailing address
2090 WALER DR, HUDSONVILLE, MI 49426-7430
(616) 426-2450
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6301015277
STATE OF MICHIGAN
MI
Enumeration date
05/13/2019
Last updated
05/13/2019
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