Individual
NICOLE MCCLELLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 LARNES ST, CHARLESTON, SC 29403-4618
(843) 473-5849
Mailing address
19 LARNES ST, CHARLESTON, SC 29403-4618
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/27/2022
Last updated
12/27/2022
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