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Individual

MISS CECILE M DIRICK CHAFFEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
730 MEDICAL CENTER CT, CHULA VISTA, CA 91911-6618
(619) 863-5863
Mailing address
730 MEDICAL CENTER CT, CHULA VISTA, CA 91911-6618
(619) 863-5863

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
00136
CA
101Y00000X
Counselor
Primary
CA

Other

Enumeration date
06/17/2021
Last updated
06/17/2021
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