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Individual

CAROL SUSAN CHACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-3073
(202) 476-5864
Mailing address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-3073
(202) 476-5864

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904010003
VA
1041C0700X
Clinical Social Worker
22944
MD
1041C0700X
Clinical Social Worker
Primary
LC303303
DC

Other

Enumeration date
07/31/2020
Last updated
08/03/2020
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