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1528088226
CHARLES CLANCY
LOUISVILLE, KY
NPI
1528088226
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY 943)
Enumeration Date
2006-07-19
Last Update Date
2007-07-08
Business Address
-- CHARLES CLANCY LCSW
800 ZORN AVE
LOUISVILLE, KY 40206-1433
Phone number: 502-287-6196
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Mailing Address
-- CHARLES CLANCY LCSW
12225 CROSSWINDS DR
LOUISVILLE, KY 40243-2111
Phone number:
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