Individual
MICHAEL MCCLOUD II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(615) 355-3451
Mailing address
PO BOX 2429, SMYRNA, TN 37167-1719
(615) 355-3451
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8739-M
AR
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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