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Individual

CAROLINE CLANCY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
23 THOMAS SHILLING CT, UPPERCO, MD 21155-9334
(410) 720-9337
Mailing address
6716 SUNSET DR, ELDERSBURG, MD 21784-6320

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
01/29/2022
Last updated
01/29/2022
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