Individual
HAROLD MCCLELLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1322 N 36TH ST, SAINT JOSEPH, MO 64506-2365
(816) 236-2633
Mailing address
1322 N 36TH ST, SAINT JOSEPH, MO 64506-2365
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2016035907
MO
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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