Individual
TANYA LISETTE MCCLUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
313 MAPLE ST, HINTON, WV 25951-2629
(304) 952-0064
Mailing address
313 MAPLE ST, HINTON, WV 25951-2629
(304) 952-0064
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/13/2017
Last updated
04/30/2025
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