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Individual

DR. KEVIN C. CLANCY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
940 BELMONT ST RM C134, BROCKTON, MA 02301-5596
(508) 583-4500
Mailing address
940 BELMONT ST RM C134, BROCKTON, MA 02301-5596
(508) 583-4500

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6727
MA

Other

Enumeration date
10/11/2006
Last updated
07/08/2007
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