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1144496746
DIANE MARIE CLANCY
JACKSONVILLE, FL
NPI
1144496746
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW9196)
Enumeration Date
2008-05-03
Last Update Date
2021-01-30
Business Address
Mrs. DIANE MARIE CLANCY L.C.S.W.-C
171 BARONY DR
JACKSONVILLE, FL 32225-6117
Phone number: 904-248-0035
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Mailing Address
Mrs. DIANE MARIE CLANCY L.C.S.W.-C
171 BARONY DR
JACKSONVILLE, FL 32225-6117
Phone number: 301-299-1629
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