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1811388077
MARTIN CLANCY
DEERFIELD, IL
NPI
1811388077
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2015-02-10
Last Update Date
2015-02-10
Business Address
MARTIN CLANCY
460 CARRIAGE WAY
DEERFIELD, IL 60015-4533
Phone number: 847-971-0928
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Mailing Address
MARTIN CLANCY
460 CARRIAGE WAY
DEERFIELD, IL 60015-4533
Phone number:
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