Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 115251 | AK |
N | 1041C0700X | Clinical Social Worker | C011014 | NC |
NPI | 1003167396 |
---|---|
Provider Name | Mrs. April Shinora Mclamb |
First Address | Kotzebue, AK 99752-0003 |
Second Address | Anchorage, AK 99503-6601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2012 |
Last Update Date | 02/07/2019 |