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Individual

CHARNEICE TRINETTE MCCLAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1900 2ND AVE FL 12, NEW YORK, NY 10029-7406
(212) 360-7812
Mailing address
174 KNICKERBOCKER AVE APT 1R, BROOKLYN, NY 11237-2862
(929) 394-0911

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CRPA-5433
NY

Other

Enumeration date
04/27/2022
Last updated
04/28/2022
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