Individual
CHANDRA L CHITSWARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
208 S CENTRE ST, POTTSVILLE, PA 17901-3501
(570) 622-6417
Mailing address
208 S CENTRE ST, POTTSVILLE, PA 17901-3501
(570) 622-6417
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH002883
PA
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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