Individual
MR. LAWRANCE H MCCLUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1601 E FOURTH PLAIN BLVD, VANCOUVER, WA 98661-3713
(360) 558-5728
Mailing address
1601 E FOURTH PLAIN BLVD, VANCOUVER, WA 98661-3713
(360) 558-5728
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
5199106-3501
UT
1041C0700X
Clinical Social Worker
Primary
LW61173433
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107035228101
U006
UT
01
—
51991063500001
BLUE CROSS
UT
01
—
885125
U002
UT
01
—
942938348MCM
U003
UT
Enumeration date
12/05/2005
Last updated
08/11/2021
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