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Individual
TIMOTHY NORBERT CLANCY JR.
Active
Individual
TIMOTHY NORBERT CLANCY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
123295
CA
172V00000X
Community Health Worker
—
—
Other
Enumeration date
11/28/2016
Last updated
07/16/2024
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