Individual
MS. CHARLENE CECILIA CLANCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10 N GREENE ST, BALTIMORE, MD 21201-1524
(410) 605-7000
(410) 605-7724
Mailing address
1378 LAKE AVE, PASADENA, MD 21122-4720
(410) 360-9454
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C02943
MD
Other
Enumeration date
03/30/2006
Last updated
11/05/2007
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