Individual
MRS. MARY MARIE CLANCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1327 KALAKAKET ST, FAIRBANKS, AK 99709-4917
(907) 452-4517
(907) 452-4263
Mailing address
1327 KALAKAKET ST, FAIRBANKS, AK 99709-4917
(907) 452-4517
(907) 452-4263
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
AR
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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