Benjamin Clancy

NPI #1215343934 in Laramie, Wyoming

Provider Information

NPI Number: 1215343934
Entity Type: Individual
Name: Benjamin Clancy
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Enumeration Date: Jul 2, 2014
Last Updated: May 23, 2016

Practice Location

Address: 4989 NORTH 3RD STREET
City: Laramie
State: Wyoming
ZIP Code: 82072-9548
Phone: (307) 745-8997

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Professional — Professional	101YP2500X	Primary

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