Individual
MS. MARY SUSAN MCCLELLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
7882 SUNDOWN DR N, ST PETERSBURG, FL 33709-1254
(727) 743-7780
(727) 545-4474
Mailing address
7882 SUNDOWN DR N, ST PETERSBURG, FL 33709-1254
(727) 743-7780
(727) 545-4474
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
683218179
—
FL
Enumeration date
04/06/2009
Last updated
04/06/2009
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