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Individual
MR. WALTER GILLICAN CHAMBERLAIN JR.
Active
Individual
MR. WALTER GILLICAN CHAMBERLAIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED, LPC, BCBA
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1548
MS
103K00000X
Behavior Analyst
1-11-9380
—
Other
Enumeration date
10/22/2007
Last updated
11/02/2012
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