Individual
MRS. DIANE MARIE CLANCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.-C
Contact information
Practice address
171 BARONY DR, JACKSONVILLE, FL 32225-6117
(904) 248-0035
(815) 717-9837
Mailing address
171 BARONY DR, JACKSONVILLE, FL 32225-6117
(301) 299-1629
(815) 717-9837
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW9196
FL
Other
Enumeration date
05/03/2008
Last updated
01/30/2021
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