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Organization
CHASLO, LLC
Active
Organization
CHASLO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRE FAYNE (DIRECTOR OF OPERATIONS)
(800) 381-2195
Entity
Organization
Contact information
Practice address
3035 CENTERVILLE HWY STE 11, SNELLVILLE, GA 30039-6800
(800) 381-2195
(888) 381-0822
Mailing address
3035 CENTERVILLE HWY STE 11, SNELLVILLE, GA 30039-6800
(800) 381-2195
(888) 381-0822
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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