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MR. PHILIP JOHN CLANCEY LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1497813760

Individual Registrant:
MR. PHILIP JOHN CLANCEY LCSW
Gender: M
Not Sole Proprietor

Location and contact information for practice:
3764 72ND ST OCNI JACKSON HTS, NY 11372-6143 US
Tel: 718-335-3434  Fax: 718-335-4731

Contact information for business:
35-34 77TH ST #21 JACKSON HTS, NY 11372-6143 US
Tel: 718-639-4732  Fax: --

Registration Information:
NPI: 1497813760
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
NYR-025973-1

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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