Individual
BEVERLY CLANCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 FRANKLIN ST STE 103, MICHIGAN CITY, IN 46360-3552
(219) 877-4772
Mailing address
2005 VALPARAISO ST STE 209, VALPARAISO, IN 46383-3331
(219) 252-5464
(219) 728-1860
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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