Individual
ELLEN PATRICIA CLANCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1 ANNA MARSH LANE, BRATTLEBORO, VT 05301-0101
(802) 257-7785
(802) 258-3798
Mailing address
PO BOX 101, BRATTLEBORO, VT 05302-0101
(802) 257-7785
(802) 258-3798
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0000219
VT
Other
Enumeration date
08/18/2009
Last updated
08/18/2009
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