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Individual

AMANDA J CHALICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
IBCLC LM LMT

Contact information

Practice address
111 RAMBLE LN STE 115, AUSTIN, TX 78745-2281
(512) 808-0237
Mailing address
8214 MC KAMY DR, AUSTIN, TX 78744-5926
(512) 909-2290

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99129
TX

Other

Enumeration date
09/02/2011
Last updated
02/08/2022
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