Individual
DEBBIE MCLELLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
436 HOUSTON OAKS DR, PARIS, KY 40361-2704
(606) 584-1169
Mailing address
436 HOUSTON OAKS DR, PARIS, KY 40361-2704
(606) 584-1169
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
07/03/2018
Last updated
07/03/2018
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