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1073048377
PATRICK CLANCY
SALEM, OR
NPI
1073048377
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 16CRM077)
Enumeration Date
2017-04-24
Last Update Date
2017-04-24
Business Address
-- PATRICK CLANCY CRM
3321 HAROLD DR NE
SALEM, OR 97305-1339
Phone number: 503-399-5597
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Mailing Address
-- PATRICK CLANCY CRM
3321 HAROLD DR NE
SALEM, OR 97305-1339
Phone number: 503-399-5597
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