Individual
MRS. ELIZABETH ANNE CLANCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
37875 12 MILE RD, FARMINGTON HILL, MI 48331
(248) 703-2578
Mailing address
37875 12 MILE RD, FARMINGTON HILL, MI 48331
(248) 703-2578
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401009599
MI
Other
Enumeration date
05/27/2011
Last updated
05/27/2011
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