Individual
LORETTA MCCLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24964 HIGHWAY 82, MC CARLEY, MS 38943-6616
(404) 207-6453
Mailing address
24964 HIGHWAY 82, MC CARLEY, MS 38943-6616
(404) 207-6453
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
18056555
MS
174400000X
Specialist
CL1230175
FL
1744P3200X
Prosthetics Case Management
Primary
CL1230175
FL
224P00000X
Prosthetist
CL1230175
FL
Other
Enumeration date
11/27/2013
Last updated
05/21/2020
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