Individual
MARY MICHAL MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
600 42ND ST, DES MOINES, IA 50312-2701
(515) 255-8399
(515) 255-8405
Mailing address
2213 GRAND AVE, DES MOINES, IA 50312-5305
(515) 237-3974
(515) 883-2692
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
02528
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0469676
—
IA
05
—
1001123
—
IA
Enumeration date
05/20/2008
Last updated
04/05/2010
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