Individual
MAXINE MCLEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
31 GRANDVIEW AVE, MOUNT VERNON, NY 10553-1311
(914) 439-2183
Mailing address
31 GRANDVIEW AVE, MOUNT VERNON, NY 10553-1311
(914) 439-2183
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
297883
NY
Other
Enumeration date
02/19/2015
Last updated
02/19/2015
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