Individual
BRIDGET KATHRN CLANCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 DAVIS ST, EVANSTON, IL 60201-4619
(224) 714-8070
Mailing address
931 MICHIGAN AVE APT 2E, EVANSTON, IL 60202-1443
(224) 714-8070
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/24/2025
Last updated
01/27/2025
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