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Individual

MR. EDWARD J CHRISMAN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.DIV

Contact information

Practice address
1143 S 3RD ST, SUITE C, LOUISVILLE, KY 40203-2901
(502) 581-1258
Mailing address
1143 S 3RD ST, SUITE C, LOUISVILLE, KY 40203-2901
(502) 581-1258

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
05/18/2007
Last updated
11/20/2008
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