Individual
MR. DAVID MCCLARY PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
7833
WI
104100000X
Social Worker
IA 850
IA
1041C0700X
Clinical Social Worker
Primary
7833
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942309828
—
WI
Enumeration date
09/21/2006
Last updated
03/01/2012
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