Individual
MRS. KIMBERLY DIANE MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1421 KRISTINA WAY, CHESAPEAKE, VA 23320-8917
(757) 547-0153
Mailing address
227 EAGLE CREEK RD, MOYOCK, NC 27958-9365
(252) 548-0713
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
VA
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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