Individual
HEATHER NICOLE MCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
P O BOX 55309, BIRMINGHAM, AL 35255
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3150
—
AL
Enumeration date
08/16/2006
Last updated
01/08/2008
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