CHARLES CLANCY

LOUISVILLE, KY
NPI1528088226
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: KY  943)
Enumeration Date2006-07-19
Last Update Date2007-07-08
Business Address
-- CHARLES CLANCY LCSW
800 ZORN AVE
LOUISVILLE, KY 40206-1433
Phone number: 502-287-6196
Mailing Address
-- CHARLES CLANCY LCSW
12225 CROSSWINDS DR
LOUISVILLE, KY 40243-2111
Phone number:
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