Individual
MS. NANCY JEANNE VANCLEAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
110 HO PLAZA, CORNELL UNIVERSITY, ITHACA, NY 14853-3101
(607) 255-5208
Mailing address
5754 SEELEY RD, CAYUTA, NY 14824-9733
(607) 594-2286
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
00000066
NY
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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