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Individual
MRS. MARIAM M CHASE
Active
Individual
MRS. MARIAM M CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN. RN. CS-P
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
R081733
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R081733
REGISTERED NURSE LICENSE
MD
Enumeration date
10/24/2006
Last updated
07/09/2007
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