Individual
SHELITA MARIE MCCLOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
3220 W VLIET ST, MILWAUKEE, WI 53208-2453
(414) 231-4000
(414) 231-4013
Mailing address
3220 W VLIET ST, MILWAUKEE, WI 53208-2453
(414) 231-4000
(414) 231-4013
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5739-120
WI
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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