Individual
MAURICE MCCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3712 TOWER AVE STE C, SUPERIOR, WI 54880-5397
(715) 468-2841
Mailing address
PO BOX 265, SHELL LAKE, WI 54871-0265
(715) 468-2841
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5411-226
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5411-226
LICENSE
—
Enumeration date
03/07/2023
Last updated
01/10/2024
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