Provider Demographics
NPI:1396439246
Name:MCCLAIN, AERIEL
Entity type:Individual
Prefix:
First Name:AERIEL
Middle Name:
Last Name:MCCLAIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3550 PLEASANT HILL RD APT 607
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-4875
Mailing Address - Country:US
Mailing Address - Phone:662-897-0164
Mailing Address - Fax:
Practice Address - Street 1:3550 PLEASANT HILL RD APT 607
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-4875
Practice Address - Country:US
Practice Address - Phone:662-897-0164
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker