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Individual

ADELA CHANCEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1031 E OAK ST, ARCADIA, FL 34266-8923
(863) 491-7580
(863) 491-7584
Mailing address
34 S BALDWIN AVE, ARCADIA, FL 34266-3387
(863) 491-7580
(863) 491-7584

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PN636971
STATE LICENSE
FL
Enumeration date
05/07/2015
Last updated
05/07/2015
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