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Individual
MS. VIRGINIA CLANCY
Active
Individual
MS. VIRGINIA CLANCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
SW21871
FL
101YM0800X
Mental Health Counselor
SW21871
FL
104100000X
Social Worker
SW21871
FL
1041C0700X
Clinical Social Worker
Primary
SW21871
FL
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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