Provider Information for 1518516509
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HERMAN V MCLEAN LMHC
Sex: Male
NPI: 1518516509
Last Updated: 2019-09-11
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1518516509 | ||||||||
| Enumeration Date | 2019-09-11 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 17121 NW 9TH PL MIAMI, FL 33169-5252 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 18441 NW 2ND AVE MIAMI GARDENS, FL 33169-4517 United States Phone: 786-657-3276 | Fax: | ||||||||
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