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Individual

MRS. MADELINE H CHAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT, MLDT

Contact information

Practice address
106 S LOMBARD ST STE 104, CLAYTON, NC 27520-2554
(919) 862-6815
Mailing address
106 S LOMBARD ST, CLAYTON, NC 27520-2554
(919) 862-6815

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
04223
NC

Other

Enumeration date
10/30/2015
Last updated
01/13/2020
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