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Individual
MR. CHANNING LEE CHAMBERLAIN
Active
Individual
MR. CHANNING LEE CHAMBERLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6005
OK
Other
Enumeration date
12/21/2011
Last updated
09/04/2018
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