Individual
MISS MARLEEN SYLVIA MCCLURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADAC II
Contact information
Practice address
512 OLD HICKORY BLVD APT 2817, NASHVILLE, TN 37209-6110
(615) 906-5464
Mailing address
512 OLD HICKORY BLVD APT 2817, NASHVILLE, TN 37209-6110
(615) 906-5464
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1234
TN
Other
Enumeration date
05/23/2020
Last updated
05/23/2020
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