Individual
MARTIN CLANCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
460 CARRIAGE WAY, DEERFIELD, IL 60015-4533
(847) 971-0928
Mailing address
460 CARRIAGE WAY, DEERFIELD, IL 60015-4533
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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