Individual
MS. JUDY ELIZABETH MCCLURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
808 N 4TH ST, FAIRFIELD, IA 52556-2203
(703) 969-9970
Mailing address
PO BOX 2132, FAIRFIELD, IA 52556-0036
(703) 969-9970
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
P52378
IA
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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