Clancy Davis
Clancy Davis is a Peer Specialist in Ada, Oklahoma. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
124 S Broadway Ste 200Ada, OK 74820-0000
Phone: (580) 332-3001
Fax: (580) 332-8774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1023488392 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 30, 2015 |
| Last updated in NPPES | September 30, 2015 |
| Mailing address | 124 South Broadway, Suite 200, Ada, OK 74820-0000 |
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