Individual
SHELLY D MCCLUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
113 PENDELTON AVE, ECCLES, WV 25836
(304) 575-2752
Mailing address
PO BOX 22, ECCLES, WV 25836-0022
(304) 575-2752
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
AP00942036
WV
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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