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Individual

CHASE TARLETON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
740 FLETCHER ST, CEDARTOWN, GA 30125-3249
(770) 748-1500
Mailing address
121 FRIAR TUCK RD NE, ROME, GA 30161-5821

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MSW008470
GA

Other

Enumeration date
12/06/2018
Last updated
12/06/2018
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