Doctor Name: | MS. MINNIE MCCLAIN |
NPI Number: | 1063698892 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 921 E Compton Blvd 1st Floor Compton, CA - 902213303 |
Business Phone Number: | 3106686929 |
Business Fax Number: | |
Mailing Address: | 921 E Compton Blvd, 1st Floor COMPTON |
State: | CA |
Postal Code: | 902213303 |
Phone Number: | 3106686929 |
Fax Number: | |
NPI Enumeration Date: | 01/10/2008 |
NPI Last Update Date: | 05/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |