Individual
NYLA R MCCLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 E CHEVES ST STE 280, FLORENCE, SC 29506-2652
(843) 799-0076
(800) 557-0208
Mailing address
3632 TROTWOOD DR, FLORENCE, SC 29501-8590
(843) 229-1857
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
SC
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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