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Organization

JOHN CHAFFIN, ED.D., P.A.

Active
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Organization

JOHN CHAFFIN, ED.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN CHAFFIN ED.D. (LICENSED PSYCHOTHERAPIST)
(954) 380-8823
Entity
Organization

Contact information

Practice address
2312 WILTON DR STE 24, WILTON MANORS, FL 33305-1249
(954) 380-8823
Mailing address
2312 WILTON DRIVE, SUITE 24, WILTON MANORS, FL 33305
(954) 380-8823

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH13783
FL

Other

Enumeration date
08/17/2017
Last updated
08/27/2017
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