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Individual
RAYMOND A CHANDLER
Active
Individual
RAYMOND A CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MED
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1556
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
486025
TUFTS HLTH PLAN
MA
01
—
LM0940
BLUE CROSS BLUE SHIELD
MA
Enumeration date
10/23/2006
Last updated
07/08/2007
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