Individual
MS. MARY MILLER MCCLELLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4214 HARD SCRABBLE RD, COLUMBIA, SC 29223-8560
(803) 546-9942
Mailing address
17 BURGEE CT, COLUMBIA, SC 29229-7342
(803) 546-9942
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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