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Individual
MRS. TESSA MARY CHAMBERS
Active
Individual
MRS. TESSA MARY CHAMBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP CCC
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL004619L
PA
235Z00000X
Speech-Language Pathologist
SLP1010
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0153478000
—
WV
Enumeration date
05/01/2007
Last updated
07/08/2007
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