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Individual

DR. LISA NICOLE MCCLEARY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
518 E HOSPITAL ST, NACOGDOCHES, TX 75961-5239
(936) 462-5877
Mailing address
223 E CALIFORNIA ST, NACOGDOCHES, TX 75965-3567
(936) 645-7048

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
4551
TX
103T00000X
Psychologist
Primary
36982
TX
103TS0200X
School Psychologist
70636
TX

Other

Enumeration date
04/30/2020
Last updated
01/10/2022
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