Individual
ALLISON CLANCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14 PORTER ST, EAST BOSTON, MA 02128-2116
(908) 868-5180
Mailing address
14 PORTER ST, EAST BOSTON, MA 02128-2116
(908) 868-5180
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/24/2012
Last updated
01/23/2015
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