Individual
KATIE CHICHISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1019 E WATER ST, ELMIRA, NY 14901-3332
(607) 733-5696
Mailing address
960 EAST AVE, ELMIRA, NY 14901-1721
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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