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Individual

KELLEY P CLANCY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
400 MASSASOIT AVE STE 305, EAST PROVIDENCE, RI 02914-2012
(401) 294-0451
Mailing address
1130 TEN ROD RD STE E305, NORTH KINGSTOWN, RI 02852-4176
(401) 294-0451

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC01398
RI

Other

Enumeration date
01/31/2019
Last updated
06/06/2023
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