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Individual

MRS. KIERSTEN MCCLELLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
23 ANNA CT, SELKIRK, NY 12158-8711
(518) 767-0854
Mailing address
17 ROTTERDAM DRIVE, GLENMONT, NY 12077
(518) 755-5558

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
NY

Other

Enumeration date
07/30/2008
Last updated
08/28/2015
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