Individual
PHLYTHIA CLARISSA CLECKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5195 COTTER CT, UNION CITY, GA 30291-1809
(470) 691-9269
Mailing address
5195 COTTER CT, UNION CITY, GA 30291-1809
(470) 691-9269
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/17/2023
Last updated
08/22/2023
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