Individual
MS. DOROTHY JEAN CLANCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., C.N.S.
Contact information
Practice address
10958 EIGHT BELLS LN, COLUMBIA, MD 21044-2704
(301) 996-0417
Mailing address
10958 EIGHT BELLS LN, COLUMBIA, MD 21044-2704
(301) 996-0417
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
DX2975
MD
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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