Individual
COURTNEY ALEXANDRA CHACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
616 VERMONT ST STE B, LAWRENCE, KS 66044-2221
(785) 550-7481
(785) 274-8179
Mailing address
610 N WREN DR, LAWRENCE, KS 66049-4694
(620) 966-6522
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4098
KS
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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