Provider Information for 1124745344
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LORETTA ANN MCCLORY MA
Sex: Female
NPI: 1124745344
Last Updated: 2022-10-27
Certification Date: 2022-10-27
Certification Date: 2022-10-27
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1124745344 | ||||||||
| Enumeration Date | 2022-10-27 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1434 SALEM MEADOW CIR AUSTIN, TX 78745-2912 United States Phone: 512-470-7372 | Fax: | ||||||||
| Primary Practice Address | 1434 SALEM MEADOW CIR AUSTIN, TX 78745-2912 United States Phone: 512-470-7372 | Fax: | ||||||||
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