Individual
HALEY E. CLANCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
191 WOODPORT RD STE 209, SPARTA, NJ 07871-2645
(973) 512-3700
Mailing address
191 WOODPORT RD STE 209, SPARTA, NJ 07871-2645
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00727000
NJ
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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