Individual
SALLY BRUNNER MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2157 GREENBRIER STREET, CHARLESTON, WV 25311
(304) 344-5924
(304) 344-3503
Mailing address
45 ARROWHEAD DRIVE, WINFIELD, WV 25213
(304) 344-5924
(304) 344-3503
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AP00939365
WV
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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